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					                                     IN CONFIDENCE

                              Application for the BFG
                       Poppy Adventure Breaks
                       1. Flamingo Competent Crew Sail to Denmark
                                6th August – 13th August 12
                                          (closing date: 29th June)


                       2. Mohnesee Sailing & Windsurfing Residential
                                  13th – 17th August 12
                                          (closing date: 29th June)


                           3. Austria Adventure 25 – 31 August 12
                                          (Closing Date: 15th June)


                  PLEASE SPECIFY ON APPLICATION WHICH RBL POPPY BREAKS YOU ARE APPLYING



Nominating Persons Name
Job Title

Unit Address



Telephone (accessible from a civilian number)        Office:

                                                     Mobile:

Fax
Email
Young Persons Full Name
Guardians Name and Title
Unit Address


Home Address


Telephone (accessible from a civilian                Home:
number)


                                                     Mobile:
Email
Date of Birth and School Year (must meet
age and ability requirement at the time of
applying)
                                                        1
                                                                 The Royal British Legion (Charity No: 219279)
The nominee can swim 25 meters (this is a            Yes                             No
requirement)
Are the family aware of this nomination?             Yes                             No
The nominee must hold a current Passport,            Yes                             No
Visa and European Health Insurance Card?
Please provide a brief statement or bullet points about why you are nominating this person for the
Adventure Break.
(PLEASE SPECIFY WHICH POPPY ADVENTURE BREAK YOU ARE NOMINATING FOR)




Which of the following RBL Adventure Break criteria are being used to support this application?

       From a household where the child has difficulty socialising, lacks confidence and self esteem.

       Where the family have not had a holiday away from home in the last two years.

       From a family experiencing health or emotional difficulties, as a result of Service in the Armed
        Forces, prolonged separation, bereavement or break up of the family.
       From a family experiencing, hardship and/or distress caused by the beneficiaries unit being
        deployed on overseas operations.
       From a family where a parent is caring for a disabled partner or a child is caring for a disabled
        parent.
       Other: To provide respite for families experiencing problems.




Signed (nominating person)                                                            Date


N.B Please attach a photo copy of I.D. card, Passport and EHIC. Nominees Must Be Competent Swimmers.

Send the completed application to: Steve Walker, SCDW, AWS, Paderborn Garrison, Building 85, BFPO 16.
Tel: 05254 982 4340 Email: aws-bfg-agcdo-paderborn@mod.uk



 Received on

 Received by

 Reference Number

                                                       2
                                                              The Royal British Legion (Charity No: 219279)

				
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