If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email firstname.lastname@example.org.
Please tell us what format you need. It will help us if you say what assistive technology you use.
Section A of this form must be filled out by the Higher Level Scheme agreement holder and make sure the leader of the visiting group fills out Section B.
Complete the form as fully as possible and make sure there is a form filled out for each visit.