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Juniors

Find out all about what's happening in and around the county for Junior golf.

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home / Juniors / Parental Consent Form

Parental Consent

If your child is part of any of the Suffolk junior squads you will also be required to complete the consent form below.

DETAILS OF CHILD
Childs Name
Date of Birth
Email Address
Childs Phone Number (Optional)
Address (Inc. Post Code)
DETAILS OF PARENT/GUARDIAN
Parent/Guardian Name
Parent/Guardian Email Address
Parent/Guardian Address (Inc. Post Code)
Parent/Guardian Phone Number 1
Parent/Guardian Phone Number 2
DETAILS IN CASE OF EMERGENCY
Additional Emergency Contact - Name
Additional Emergency Contact - Phone Number
Childs Doctor - Surgery Name
Childs Doctor - Surgery Telephone Number
ADDITIONAL INFORMATION
Does the child experience any conditions requiring medical treatment and/or medication? Yes
No
*If yes please give details, including medication, dose and frequency.
Does the child have any allergies? Yes
No
*If yes please give details
Does the child have any specific dietary requirements? Yes
No
*If yes please give details.
Does the child have any other special requirements? For example; requires help to administer planned medication, assistance with lifting or access, regular snacks etc?
Does the child to have a disability? Yes
No
*If yes what is the nature of the disability?
Does the child have any communication needs? For example; non-English speaker/ hearing impairment/ sign language user/ dyslexia? If yes, please tell us what we need to do to enable him to communicate with us fully.
CONFIRMATION OF CONSENT
Name of person completing this form
By checking the box below I confirm that: (1) To the best of my knowledge that the child does not suffer from any medical condition other than those detailed above. (2) If in a doctor’s medical opinion, it would be contrary to the child’s interest for any delay to be incurred by seeking my personal consent I give my permission for a County representative to give authority for medical or surgical treatment recommended by competent medical authorities. (3) I acknowledge that the County is not responsible for providing adult supervision for the child except for formal junior golf coaching, matches or competitions. (4) I agree to the child being transported by County representatives to and from venues when he is representing the County. (6) I agree to notify the County of any changes to the above.
Check box to confirm I CONFIRM
PHOTOGRAPHY CONSENT INFORMATION

Suffolk Golf Union will take steps to ensure images are used solely for the promotion and celebration of the activities of the Suffolk Golf Union.
By checking the box below I confirm that I agree to the Suffolk Golf Union photographing or videoing the child and confirm that I am entitled to give this consent. I CONFIRM
Confirm

Payment for Junior Squads can be made by Bacs to Barclays-20-16-12- Suffolk Golf Limited - account no 03694712

More in this section

Juniors

Junior News
Junior Squads & Teams
Junior Development Hubs
Junior Open Series
Junior Team Championship
Suffolk Junior Championship
Suffolk Junior Matchplay
Junior Committee
Safeguarding Policy
Parental Consent Form
Junior Fixtures

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Suffolk Golf Union

2, Third Avenue, Glemsford
.Sudbury, CO10 7QJ
07884 313898
secretary@suffolkgolfunion.co.uk
www.suffolkgolfunion.co.uk

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