Leicestershire & Rutland Golf Union

County Event Parental Consent Form.

As part of our Safeguarding and H&S policies this form must be completed for all Junior entrants by the parent/guardian in conjunction with the player and submitted to the County prior to playing in any County run events. Please note if any of the information changes you must submit an updated form.

If you experience any difficulties completing this form or have any questions relating to it please send an email to: lrgu.juniorgolf@gmail.com with the details and one of our team will respond.

PARENTAL CONSENT FORM - This must be completed by the Players Parent or Guardian and submitted at the point of entry into the event:

Please select from the drop-down list below the event entered that this consent form is supporting - if the player is intending to enter multiple events in 2024 please select the Multi events option on the list and this will then cover the whole season

Player First Name
Player Surname
Players Post Code
Players Date of Birth
PARENT/GUARDIAN CONSENT.
Primary Parent/Guardian Contact Name
Primary Contact Email
Primary Contact Mobile Number
Primary Contact Additional Phone Number
Primary Contacts Relationship to Player
Additional Emergeny Contact Name
Additional Emergency Contact Phone Number
Additional Emergency Contacts Relationship to Player
Name of Players Doctor
Phone Number for Players Doctor
Please provide details of any existing Medical Conditions, Allergies or Medications that might affect emergency treatment:

Disability The Equality Act 2010 defines a disabled person as ‘anyone with a physical or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day to day activities

Do you consider your child to have a disability?

If yes what is the nature of the disability?
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.
I Confirm that the information provided on this form is accurate and consent to my child receiving Emergency Treatment from a Qualified Medical Practitioner arranged by the County event organisers if necessary. Please tick box.
From time to time the County event Organisers may use images taken by monitored persons for the purposes of training or promotion. Please indicate your willingness for your child to be included.

I acknowledge that we have read and understand our responsibilities as a player/parent/guardian under the Code of Conduct/Social media/Specator and other relevant policies all available to view via the link at the bottom of this page. Please tick
Please confirm who is submitting this form (select from list below)

If the person submitting this form is not the primary contact or the additional contact then please provide name along with the relationship to the player and contact details.
Before submitting this form please tick this box to confirm that you have read and accept our Data Protection Policy at the bottom of this page.
Confirm

Data Protection Policy all the information supplied above will be kept in strictest confidence on a secure database and will only be used by Officers and Officials of the Leicestershire and Rutland Mens Golf Union and/or the Ladies CGA for the purposes of organising competitions (including results published in the press) and will not be disclosed to any third party other than if required for Covid 19 NHS Track and Trace purposes. By submitting this form you are confirming your acceptance to this statement.

A list of current policies and procedures relating to Junior golf can be found on the Governance page and in particular within the Young People SafeGolf Policy document.

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