Glasgow Golf Union

Parental Consent Form

NAME OF JUNIOR: ..............................................................

GOLF CLUB: ........................................................................

DATE OF BIRTH: ..................................................................

HOME ADDRESS: ................................................................

...............................................................................................

EMERGENCY CONTACT TELEPHONE NUMBERS

WORK ....................................................... HOME ..................................................

MEDICAL REQUIREMENTS/ALLERGIES ETC:
Please give details if any medication etc. including details of family doctor to be contacted if applicable below:

I, .....................................................................................(parent/guardian)

Residing at ...........................................................................(home address)

Hereby give my consent/permission to Glasgow Golf Union and its Executive Committee to arrange for the transportation by such means and under such supervision as they consider appropriate in the circumstances at the time, of my child .....................................
whose details I have provided above, for the purposes of coaching in golf and for playing as a representative of Glasgow Golf Union in golf matches/competitions. I also acknowledge the need for adherence to the Code of Conduct laid down for Juniors by Glasgow Golf Union and the need for responsible behaviour by my son while attending such representative/coaching events.

I agree to my son receiving any emergency treatment, including anaesthetic, as considered necessary by medical authorities present should such an emergency arise.

I also undertake to provide to Glasgow Golf Union updated details of the personal and medical information provided above should there be any future change in these details.

Signed ................................................

Date ...................................................

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See also: Child Protection Policy