Junior Choir Chaperones Name* First Last Phone number (mobile preferred)*Email address* Address* Street Address City ZIP / Postal Code Date of birth*PVG : Are you a current member of Disclosure Scotland's PVG scheme?*YesNoPVG : If yes, is your membership with respect to:AdultsChildrenBothPVG : If yes, please write your membership reference hereDo you hold a current first aid certificate*YesNoIf yes, when does it expire?Are you available for a meeting on Monday 19th June 18:00-19:00?*YesNoAre you available for training on 4th September?*YesNoJunior Choir rehearsals availability - please indicate which dates you can chaperone at Junior Choir. To select more than one option on a desktop computer, hold down the ctrl or cmd key as you click.*11th September18th September25th September2nd October9th October23rd October30th October6th NovemberExperience - please give details of any experience you have working with children, and the year in which your latest experience took place. If you don't have any experience, please let us know.*Medical information - please let us know if there is anything you feel we should be aware of about your health, or anything we'd need to know if you were involved in an accident or emergency, including medication you are taking.Access information - please let us know if you have access requirementsEmergency contact name, phone number and relationship to you*Any comments - if you have any comments, questions or feedback please let us know.