RBR crestRBR Junior Leaders
Royal Bermuda Regiment crest, 60 Years of Service

Junior Leaders Programme Enrollment

Complete this form to apply to join the Royal Bermuda Regiment Junior Leaders Programme. A staff member will review your application and contact you to schedule an interview before enrollment is finalized.

Junior Leader Details

Primary Parent/Guardian

This is the main contact for the Programme.

Phone

Second Parent/Guardian

Optional.

Phone

Additional Emergency Contact

Phone

Medical Questionnaire

Answer Yes or No to each question. This information is kept confidential and only visible to programme leadership.

Have you ever suffered from dizziness, fainting or convulsions?

Have you ever suffered from chronic shortness of breath or asthma?

Have you had a severe digestive problem?

Have you ever had problems with your bones or joints, including breaks and recurring disabling backache?

Have you ever suffered loss of vision?

Do you wear corrective eye wear?

Have you ever had urinary or kidney problems?

Have you ever been diagnosed with ADD, ADHD or any other learning disability?

Have you ever been admitted into a hospital?

Consent & Signature

By signing below, the signatory parties attest that the information provided is true to the best of their knowledge and agree to the following terms and conditions:

  1. The Parent and/or Guardian accepts responsibility for any clothing or equipment entrusted into the care of their child, should the clothing or equipment be damaged or destroyed as a result of the actions of the Junior Leader, whether through malicious intent, neglect, or accidental causes.
  2. The Parent and/or Guardian consents that the above Junior Leader may participate in all activities, which may include but is not limited to: abseiling, the use of firearms, completing the assault course, kayaking, and swimming.
  3. The Parent and/or Guardian releases the Royal Bermuda Regiment from any excessive liability in the event of mental distress, harm, injury, or death of the Junior Leader where it can be shown that: (a) the mental distress, harm, injury, and/or death was a result of the Junior Leader’s failure to comply with the rules, regulations, guidelines, and/or orders (verbal, written, implied, or otherwise) under which Junior Leaders were acting at the time; and (b) steps were taken to mitigate the event’s occurrence.