Parental Consent :: Founded in 1906 and exists to represent male golfers in the county and to promote the game of golf.

Gloucestershire Golf Union

Parental Consent Form: Version 2021

This Parental Consent Form applies only to the Gloucestershire Golf Union (GGU).

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 parent/guardian to notify the GGU of any changes at any time. email: secretary@gloucestershiregolfunion.co.uk In compliance with the Data Protection Act 2018, 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 GGU. Information will not be kept once a person is no longer a member of the GGU. Information will be disclosed only to those members of the GGU for whom it is appropriate.

SAFEGUARDING JUNIORS

• Everyone working with children and young people has a responsibility for keeping them safe, irrespective of their role, whether they are paid members of staff or volunteers

• Parents may be encouraged to stay for competitions and other events where their children are of an age where greater levels of supervision is required

• Parents should be made aware that with limited changing room space there may be occasions when adults and children may need to share the same facilities• Parents should be aware that if children are left at a venue unsupervised, other than to attend specific coaching sessions, the GGU cannot accept supervisory responsibility. In this instance a child by law as anyone under the age of 18 years

Note: The GGU may, from time-to-time, organise online coaching sessions during which parents may or may not want to supervise their child. County Coaches running the sessions will be SafeGolf Accredited as normal.

Child's Personal Data

Forename
Surname
Home Tel No
Date of Birth
Address
Post Code
Home Club
England Golf Membership ID (CDH) No.

The England Golf Membership ID (CDH) No. is a player's unique 10 digit number provided by England Golf and is available from the player's 'home' golf club.

Parent's Personal Data

Title

Forename
Surname
Relationship to Child

Address
Post Code
Email Address
Confirm Email Address
Emergency Contact No (Mobile)
Emergency Contact No (Home)
Emergency Contact No (Work)

Medical Information

Child’s NHS Number
Doctors Name/Surgery
Surgery Address
Post Code
Doctors Tel No
Does your child experience any conditions requiring medical treatment and or medication? Yes
No
If yes please give details including medication with dosages and frequency
Where applicable, I would like my child to keep their medication on them for use as necessary. Yes
Not Applicable
Does your child have any allergies? Yes
No
If yes please give details
Does your child have any specific Dietary requirements? Yes
No
If yes please give details

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.

Do you consider your child to have a disability? Yes
No
If yes what is the nature of the disability
Does your child have any communication needs eg non-English speaker or hearing impairment or sign language user or dyslexia? Yes
No
If yes what do we need to do to enable them to communicate with us full

Photography

The GGU recognises the need to ensure the welfare and safety of all children in golf. As part of our commitment to ensure their safety we will not permit photographs, video images or other images of your child to be taken or used without your consent.

The GGU will follow the guidance for the use of images of children as detailed within the respective Child Protection Policy and Procedures and will take steps to ensure these images are used solely for the purposes for which they are intended i.e. your child's coaching or the promotion and celebration of the activities of GGU.

I consent to the GGU (or its professional coaches) photographing or videoing under the stated rules and conditions, and I confirm I have legal parental responsibility for this child and am entitled to give this consent. Yes
No

Sharing Information with England Golf

Each year England Golf make significant financial contributions towards a number of county coaching programmes across the country. In order to continue to support future programmes and improve on the quality of coaching, England Golf may ask players to provide feedback on their county coaching experiences. This feedback would typically take the form of a short on-line survey.

To support this process England Golf asks the GGU to provide it with an email address that they can use to directly contact players who are participating in any coaching programme that they make a financial contribution towards.

The financial contribution made by England Golf is significant, and enables it to evaluate the success of current county coaching programmes, which will help to secure continued funding and support for your child's golfing aspirations.

I consent to the GGU providing England Golf with my contact email address above for the sole purpose of collating feedback about my child's' participation in the GGU programme, Yes
No

GGU Policies & Procedures

To view the current GGU Polices & Procedures, please click 'here'.

a. I confirm that I, together with my named child above, have read and understand the GGU Junior Code of Conduct Policy Yes
b. I confirm that I, together with my named child above, have read and understand the GGU Social Media Policy Yes
c. I confirm that I have read and understand the GGU Parent Code of Conduct Policy Yes

Have we missed anything?

Please provide any further details that you feel we should be aware of

Contacting Your 'Home' Coach (GGU Squad Members Only)

To support your on-going development, we would really like the opportunity to share information with any coaches that support you outside of the GGU Coaching Programme. If you are happy for us to do this, please use the fields below to provide us with the relevant contact details for up to two coaches.

Coach No.1

Name
Email address
Areas of the game that you get help with (please tick each element that applies) All Round Performance
Long Game
Short Game
Putting
Psychology
Physical Fitness
Other

Coach No.2

Name
Email address
Areas of the game that you get help with (please tick each element that applies) All Round Performance
Long Game
Short Game
Putting
Psychology
Physical Fitness
Other

Declarations

a. I confirm that to the best of my knowledge my child named above does not suffer from any medical condition, allergy, special dietry requirement, disability or special communication needs other than those entered above. Furthermore, I agree to notify the GGU of any changes

b.I hereby give permission for the GGU's responsible person to give the necessary authority for any medical or surgical treatment recommended by competent medical authorities, where it would be contrary to my child's interest, in the Doctor's medical opinion, for any delay to be incurred by seeking my personal consent

c.My child has my permission to be on the premises of the golf club hosting a GGU related activity

d.I acknowledge that the GGU 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 the GGU to and from venues when representing the GGU

By submitting this form I confirm that I have legal responsibility for the child named above and that I am entitled to give this consent and that I am aware of how the information I have provided may be used Yes
Full Name
Relationship to Child

Confirm

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