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Lead Away Permit

Request to county to appoint a mentor or assessor

We ask that this form is completed a minimum of 12 weeks before the intended event to allow adequate time to work through the Lead Away Permit and for us to find a mentor and assessor.

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Please appoint a mentor and assessor for: *
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If you have identified someone who could act as the mentor and/or assessor, please complete their details below:
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Going away with modules held by Mentor:
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Name of commissioner who will sign the REN form: *
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If applicable, please give the name of Queen's Guide mentor:
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Date of event (if know)
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Location event (if known)
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Please indicate if this is an indoor or outdoor event:
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