Surrey Golf

Junior Health & Safety

PLAYER PROFILE AND PARENTAL CONSENT FORM

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.

This form must be completed by the parents/carer of any player under the age of 18 taking part in all Surrey Golf activities including Surrey Golf Championships, Knockouts, the Surrey Golf Development Programme, Rookie Tour and JAGS Tour and County Squad players.

Please ensure you take the time to read the Photography Policy and both Code of Conducts available below:

Photography Policy

Code of Conduct for Players

Code of Conduct for Parents/Carers of Players

In compliance with the data protection act 2018, GDPR and all relevant data protection legislation, all efforts will be made to ensure that information is accurate, kept up to date and secure and that it is used only in connection with the purpose and activities of the organisation. Information will not be kept once a person is no longer involved with Surrey Golf. The information will be disclosed only to those members of the Surrey Golf for whom it is appropriate and relevant officers of England golf where necessary.

The Player Profile and Parental Consent Form, along with the Code of Conducts are valid for the 2023 season i.e., 01/01/2023 to 31/12/2023 and must be renewed annually.

Surname of Junior
First Name of Junior
Home Address
Please Confirm Male / Female

Date of Birth
Home Golf Club
Squad / Competition Name

Handicap Index
WHS Number (Previously known as CDH Number)
Name of Home Coach
Name of Club Home Coach Assigned to
Parents / Legal Carers / Guardians' Names
Address if different to above
Preferred email Address for correspondence
EMERGENCY CONTACT - Name 1
Emergency Contact Number
EMERGENCY CONTACT - Name 2
Emergency Contact Number
Please confirm details of all those with Parental Responsibility for the junior named if different from above

MEDICAL INFORMATION

Child Doctor's Name
Doctor's Surgery Address
Does your child experience any conditions requiring medical treatment and/or medication?

* If YES please give details including medication dose and frequency:
Does your child have any allergies ?

* If YES please provide details:
Does your child have any specific dietary requirements?

* If YES please provide details:
Does your child have any additional needs e.g. needs help to administer planned medication / assistance with lifting or access or the need for regular snacks?

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?

CONSENT OF PARENT/LEGAL CARER/GUARDIAN

I give my consent that in an emergency situation, the county 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.
Answer to Emergency Situation Above Yes
No
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 Surrey Golf of any changes to this information
The submission of this form denotes that my child has my permission to be on the premises where county activities are taking place
I acknowledge that the County 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 county representatives to and from venues when he/she is representing the county if required

I give permission for Surrey Golf to hold the data provided relating to myself and my child/children (such information being

I give permission for Surrey Golf to use Relevant Data provided by me to contact me about Surrey Golf events applicable to my child/children

By submitting this document I confirm that I have legal responsibility for the Junior (Child) named above and that I am entitled to give this consent and am aware of how the information I have provided may be used

I confirm that I have read/understand and agree to the terms of the Photography Policy

I confirm that I have read/understand the Code of Conduct for Parents/Carers

I confirm that I have made my child aware of the Players and that they understand and agree to the terms outlined

I DECLARE THAT THE INFORMATION I HAVE GIVEN ABOVE IS TRUE AND CORRECT Yes
PRINT NAME
DATE
Confirm

Created by intelligentgolf version 10.1.2.

Junior Health & Safety

PLAYER PROFILE AND PARENTAL CONSENT FORM

Please ensure you take the time to read the Photography Policy and both Code of Conducts available below:

Juniors

Surrey Golf is the governing body for amateur golf in Surrey

Surrey Golf

Contact

Links

Junior Health & Safety

PLAYER PROFILE AND PARENTAL CONSENT FORM

Please ensure you take the time to read the Photography Policy and both Code of Conducts available below:

Juniors

Surrey Golf is the governing body for amateur golf in Surrey

Surrey Golf

Contact

Links

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