SIGNATURE:
SIGNATURE:
PRINT NAME:
DATE:
CLUB WELFARE OFFICE..............................................................................................................:
CLUB WELFARE OFFICE..............................................................................................................:
I have seen and checked the above responses, if any of the boxes above are ticked YES,
I have seen and checked the above responses, if any of the boxes above are ticked YES,
I have referred this form to England Golf Governance Department for a risk assessment
I have referred this form to England Golf Governance Department for a risk assessment
and advice.
and advice.
Signed: Signed:
Date:Date: