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Derbyshire County Golf

Derbyshire County Golf

Online Parental Consent Form 2024

The safety and welfare of Juniors in our care is paramount and it is therefore important that we are aware of any illness, medical condition and other relevant health details so that their best interests are addressed.

Please complete this form with our assurance that the information will be treated  as confidential. It is the responsibility of the Child or their parent to notify Derbyshire County Golf to change any details at any time. Tel: 07747 888781 or Email: secretary@derbyshirecountygolf.co.uk

In compliance with the Data Protection Act 2018, all efforts will be made to ensure that information is accurate, kept up to date and secure and that it is only used in connection with the purpose and activities of the organisation. Information will not be kept once a person is no longer a member of the organisation. information will be disclosed only to those members of the organisation for whom it is appropriate.

CHILDS PERSONAL INFORMATION



Male
Female









PARENTS PERSONAL INFORMATION






MEDICAL INFORMATION
Yes
No
Yes
No
Yes
No
DISABILITY

The Equality Act 2010 defines a disabled person as 'anyone with a physical or mental impairment, which has a substantial and long term effect on their ability to carry out normal day-to-day activities'.
Yes
No
Yes
No
PHOTOGRAPHY

Yes
No

ANYTHING ELSE?


DECLARATIONS

a. I confirm that to the best of my knowledge that my Child does not suffer from any medical condition, allergy, special dietary requirement, disability or special communication need other than those entered above. furthermore, I agree to notify Derbyshire Golf of any changes

b. I hereby give permission for Derbyshire Golf's responsible person to give the immediately necessary authority on my behalf for any medical or surgical treatment recommended by competent medical authorities, where it would be contrary to my Child's interest, in Doctors medical opinion, for any delay to be incurred by seeking my personal consent

c. My Child has my permission to be on the golf club's premises

d. I acknowledge that Derbyshire Golf is not responsible for providing adult supervision for my child except for formal golf coaching, matches or competitions

e. I agree to my child being transported by representatives of Derbyshire Golf to and from venues when representing Derbyshire Golf
Yes



Confirm





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