If you would like a copy of your submission, please email sandra.doherty@kidsout.org.uk.In case of any queries, please contact the Rotary GB&I KidsOut Coordinator , Steve Cartwright on scartwright1@hotmail.com Your Details District * Club * Rotarian Name * Email Address * Telephone Number * Number of Rotary Clubs Involved * Are there other organisations involved? Yes No E.g. Rotaract, Interact, Inner Wheel etc Day Out Venue * Date of Event * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Funding You will receive funding of £10 per child. Number of children for which funding is requested * Account Name * Sort Code * Account Number * Your Rotary Reference * Details of the Event Rotary Club(s) - name all Clubs participating in this event * Number of Schools * Name of school/association - must be stated * Region * - Select -East AngliaLondonMidlandsNorthern IrelandNorth EastNorth WestScotlandSouth EastSouth WestWalesChannel IslandsYorkshire and The Humber Please check all the information you have entered above carefully * Also please remember you will receive a confirmation email of your sign up, so please check your inbox and junk/spam folder in case your email receipt goes there. Please tick box to confirm the above information is correct. * Leave this field blank Submit
