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Junior Health & Safety

Junior Profile and Parental Consent Form 2021

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

The form must be completed for juniors taking part in all Surrey Golf activities including Surrey Golf Championships, Knockouts, the Surrey Golf Development Programme and County Squad players under the age of 18.

By submitting the online Junior Player Profile and Parental Consent Form you will be acknowledging and agreeing to the following:

Photography Policy

Code of Conduct for Young Golfers

Code of Conduct fo Parents/Carers of Young Golfers

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 a member of the organisation. The information will be disclosed only to those members of the organisation for whom it is appropriate and relevant officers of England golf where necessary.

The Junior Profile and Parental Consent Form, along with the Code of Conduct for Young People are valid for a period of one year from the date of submission and have to be renewed annually.

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

Date of Birth
Home Golf Club
Address
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' Name
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

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, regular snacks?
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?

CONSENT OF PARENT/LEGAL CARER/GUARDIAN

I confirm to the best of my knowledge that my child does not suffer from any medical condition other than those detailed above Yes
I agree to notify Surrey Golf of any changes to this information Yes

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 above Yes
The submission of this form denotes that my child has my permission to be on the premises where county activities are taking place Yes
I acknowledge that the County is not responsible for providing adult supervision for my child, except for formal junior golfing coaching, matches or competition Yes
I agree to my child being transported by county representatives to and from venues when he/she is representing the county if required Yes
I give permission for Surrey Golf to hold the data provided relating to myself and my child/children (such information being "Relevant Data") Yes
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 Yes
By submitting this document I confirm that I have legal responsibility for the Junior (Child) named above, that I am entitled to give this consent and am aware of how the information I have provided may be used Yes
I confirm that I have read, understand and agree to the terms of the Photography Policy Yes
I confirm that I have read, understand and agree to the Guidance for Parents and Code of Conduct for Parents/Carers Yes
I confirm that I have made my child aware of the terms of the Code of Conduct for Young Golfers at and that I understand and agree to terms Yes
I DECLARE THAT THE INFORMATION I HAVE GIVEN ABOVE IS TRUE AND CORRECT YES
PRINT NAME
DATE
Confirm

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