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Thurlestone Golf Club

Parental Consent

Please Note: This form applies only to Thurlestone Golf Club and cannot be used by any other organisation.

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 Thurlestone Golf Club to change any details at any time. Tel: 01548 560405 or Email: admin@thurlestonegolfclub.co.uk 

In compliance with the Data Protection Act 1998, 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 Data




Male
Female








Your CDH number is a unique 10 digit number provided by England Golf and is available from your golf club.

Parents Personal Data










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
Have we missed anything?


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 Thurlestone Golf of any changes

b. I hereby give permission for Thurlestone Golf Club'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 Childs 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 Thurlestone Golf Club 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 Thurlestone Golf Club to and from venues when representing Thurlestone Golf Club.


Yes



Confirm





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