• Junior Profile and Parental Consent Form

  • A parent or carer should complete the form on behalf of under 18 applicants 

    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 physical, mental or emotional health issues so that we can best meet their needs during their involvement with Llanfairfechan Golf Club, particularly in dealing with any emergency situation that arises.

    The information will be disclosed only to those club staff and volunteers for whom it is appropriate, and to relevant officers of Wales Golf where necessary. In compliance with the Data Protection Act 1998, 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 club. Information will not be kept once a person is no longer a member of the club.

    It is the responsibility of the junior player and their parent to notify the Club Welfare Officer (CWO) or Junior Organiser of any changes to these details. If you have any questions please contact handicaps@llanfairfechangolfclub.co.uk

  • Parent/Carer Contact Details

    (This person will also be taken as the primary emergency contact)
  • Format: 00000000000.
  • Format: 00000000000.
  •  -

  • Second Emergency Contact Details

  • Format: 00000000000.
  • Format: 00000000000.
  •  -

  • Juniors Details (First/Only)

  • Junior Members Date of Birth*
     - -
  • School age*

  • Medical Details

  • Format: 00000000000.
  • Does your child experience any conditions requiring medical treatment and/or medication?*
  • Does your child have any allergies?*
  • Does your child have any specific dietary requirements?*
  • What additional needs, if any, does your child have 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?*
  • Does your child have any communication needs e.g. non-English speaker/ hearing impairment/ sign language user/ dyslexia/neurodiversity?*
  • Do you wish to register a second child?*

  • Second Juniors Details

  • Junior Members Date of Birth*
     - -
  • School age*

  • Medical Details

  • Format: 00000000000.
  • Does your child experience any conditions requiring medical treatment and/or medication?*
  • Does your child have any allergies?*
  • Does your child have any specific dietary requirements?*
  • What additional needs, if any, does your child have 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?*
  • Does your child have any communication needs e.g. non-English speaker/ hearing impairment/ sign language user/ dyslexia/neurodiversity?*
  • Do you wish to register a third child?*

  • Third Juniors Details

  • Junior Members Date of Birth*
     - -
  • School age*

  • Medical Details

  • Format: 00000000000.
  • Does your child experience any conditions requiring medical treatment and/or medication?*
  • Does your child have any allergies?*
  • Does your child have any specific dietary requirements?*
  • What additional needs, if any, does your child have 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?*
  • Does your child have any communication needs e.g. non-English speaker/ hearing impairment/ sign language user/ dyslexia/neurodiversity?*

  • Consent from Parent/Carer/Legal Guardian:

  • Please tick all boxes if agreed

  • Conditions of Junior Membership Agreed By Parent/Carer/Legal Guardian:

    It is a condition of junior membership that the following statements must be agreed/acknowledged. Please tick boxes to show your agreement/acknowledgement

  • A copy of your responses will be emailed to the address that you provided

  • Should be Empty: