Name:

Telephone Number:

E-mail:
Dat How did you plan your Activity Name Signatu P L T C
e Activity? of re of a e e l
coach/ coach/ d a a u
leader leader d d m b
l e
e r P P
o o
P P i i
o o n n
i i t t
n n s s
t t
s s

How long it took for Organising a fun 1 1 1 -

you to plan? session on the lake. -
Did anyone help you Who you did the -
plan it? session with? -
If yes, Who? Which Coaches? -
What equipment you
used and what did you
do during the session?
Date
Bronze award achieved

Silver award achieved

Gold award achieved