Page 0036

Does your child have any communication needs e.g. non-English speaker/ hearing

impairment/ sign language user/ dyslexia? If yes, please tell us what we need to do to

enable him/her them to communicate with us fully.

Consent from Parent/Legal Carer:

I confirm to the best of my knowledge that my child does not suffer from any

medical condition other than those detailed above.

I agree to notify the Club of any changes to this information.

I give my consent that in an emergency situation, the club may act in my place

(loco parentis), if the need arises for the administration of emergency first aid

and/or other medical treatment which, in the opinion of a qualified medical

practitioner, may be necessary. I also understand that in such an occurrence all

reasonable steps will be taken to contact me or the alternative adult named in

this form.

The attached signature will denote that my child has my permission to be on the

golf club's premises.

I acknowledge that the club is not responsible for providing adult supervision for

my child, except for formal junior golfing coaching, matches or competition.

I agree to my child being transported by club representatives to and from

venues when he/she is representing the club.

(Please tick the boxes if agreed)

By signing this document I confirm that I have legal responsibility for

By signing this document I confirm that I have legal responsibility for

……………………………………………………… ; I am entitled to give this consent and I am aware of how

……………………………………………………… ; I am entitled to give this consent and I am aware of how

the information I have provided may be used.

the information I have provided may be used.

SIGNED -

PARENT /CARER:

PRINT NAME:

DATE:

Index

  1. Page 0001
  2. Page 0002
  3. Page 0003
  4. Page 0004
  5. Page 0005
  6. Page 0006
  7. Page 0007
  8. Page 0008
  9. Page 0009
  10. Page 0010
  11. Page 0011
  12. Page 0012
  13. Page 0013
  14. Page 0014
  15. Page 0015
  16. Page 0016
  17. Page 0017
  18. Page 0018
  19. Page 0019
  20. Page 0020
  21. Page 0021
  22. Page 0022
  23. Page 0023
  24. Page 0024
  25. Page 0025
  26. Page 0026
  27. Page 0027
  28. Page 0028
  29. Page 0029
  30. Page 0030
  31. Page 0031
  32. Page 0032
  33. Page 0033
  34. Page 0034
  35. Page 0035
  36. Page 0036
  37. Page 0037
  38. Page 0038
  39. Page 0039
  40. Page 0040
  41. Page 0041
  42. Page 0042
  43. Page 0043
  44. Page 0044
  45. Page 0045
  46. Page 0046
  47. Page 0047
  48. Page 0048
  49. Page 0049
  50. Page 0050
  51. Page 0051
  52. Page 0052
  53. Page 0053
  54. Page 0054
  55. Page 0055

Related Issues