Parental Consent Form (Junior Coaching)

ORKNEY GOLF CLUB values the involvement of children in our sport. We are committed to ensuring that all children have fun and stay safe whilst participating in golf.

To help us fulfil our joint responsibilities for keeping children safe, the golf club has adopted Good Practice Guidelines. These Guidelines tell you what you can expect from us when your child participates in golf and details the information we need from you to help us keep your child safe.

We need you to you complete this form at the start of every season and to let us know as soon as possible if any of the information changes. All information will be treated with sensitivity, respect and will only be shared with those who need to know e.g. the lead coach or first aider.

Name of Child *

First

Last

Date of Birth *

Address Line 1 *

Address Line 2

Address Line 3

Town/Parish *

County

Postal Code *

Telephone Number *

Parent/Guardian Name *

First

Last

Address Line 1 (if different from above)

Address Line 2 (if different from above)

Address Line 3 (if different from above)

Town/Parish (if different from above)

County (if different from above)

Postal Code (if different from above)

Telephone Number - Home

Telephone Number - Mobile *

Telephone Number - Work

Email *

Name of Alternative Emergency Contact *

First

Last

Relationship to Child *

Telephone Number - Home

Telephone Number - Mobile *

Telephone Number - Work

Child's Doctor's Name *

First

Last

Doctor's Surgery and Address *

Telephone Number *

Does your child have any injuries or medical conditions that may affect the child’s participation in golf? *

• Yes
• No

*If YES please give details, including medication, dose and frequency and any other relevant information.

Does your child have any allergies? *

• Yes
• No

* If YES please give details and symptoms.

TRANSPORTATION OF CHILDREN: I consent / I do not consent to my child being transported by persons representing the golf club or one of its individual members or affiliated clubs for the purposes of taking part in golf. I understand the golf club will ask any person using a private vehicle to declare that they are properly licensed and insured and, in the case of a person who cannot so declare, will not permit that individual to transport children.

• Consent
• Do not consent

PHOTOGRAPHS AND PUBLICATIONS (INCLUDING WEBSITE): Your child may be photographed or filmed when participating in golf. All reasonable steps will be taken to obtain parental consent. In the absence of any explicit objection, those responsible will act in the best interests of the child which may include assuming parental agreement for the above reasons. I GIVE/DO NOT GIVE my permission for my child to be involved in photographing/filming. *

• Give permission
• Do not give permission

CONTACT: Orkney Golf Club may contact your child from time to time via email, text or social networking site. I consent / I do not consent for my child to be contacted via email, text or social networking site. *

• Consent
• Do not consent

ADULT SUPERVISION: I acknowledge, by signing this form, that the club is not responsible for providing adult supervision for my child, except for formal junior golf coaching, matches or competition. (Typing your name below will be recognised by Orkney Golf Club as your signature). *

Date *

Submit