Activity Sign-up and Credit / Debit Card Payments

Please complete this form to sign up for activities and to make payment, where required.

 

Contact details for the duration of the activity

GP, Surgery and medical information

 * over 18s can certify in their own right

Details of any medical condition from which I / my child suffers or any additional information of which you would like the leaders on the trip to be aware. Please also give details of any medication you/your child should take and the dosage/frequency. 

Please repeat any medical information you have already provided for other activities. Please also note any conditions/treatments that have been notified earlier and discontinued.

 

You may pay your DofE Registration costs in many ways:

•  We use Paypal as our credit/debit card handler
•  We would prefer you use credit/debit cards in order to keep our transaction costs down, and give you an email receipt.
•  Use the "Pay Now" at the bottom of the page to pay by credit/debit card.

Alternatively, you may pay by other means:
New Bank security procedures will require you to know the payee details of the account. These are:
Account Name: OPEN DOFE IN WEST SUSSEX (NO.1169592)

•  By Bank Transfer, to Sort Code: 09-01-29  Account No: 06806956
   Please use the Location (ADU, CHI, HOR), the level (G- Gold, S-Silver, B-Bronze), and Participant surname as the reference,
   e.g. HOR-S-SMITH
•  By cheque, payable to "OPEN D OF E IN WEST SUSSEX (No. 1169592)". Please put the same reference
   on the back of the cheque.
•  Please indicate how you expect to pay at the bottom of the page.

Some financial assistance may be available. Please email the Treasurer in confidence for more details.
In case of any queries or difficulty, please contact us at one of the locations as below: 

Adur (Shoreham)   adur@opendofe.org
Chichester   chichester@opendofe.org
Horsham   horsham@opendofe.org

Please continue below to pay for Registration or Activities

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