Glos Squash Parental Consent Form

Parental consent form

Note: a separate form should be completed for each child.
Consent to participate in all squash related activities organised by the GSA. This will include both competitive and fun events and may include matches which involve travel to other counties.
Parent/Carer Name

First NameLast Name
Email
example@example.com
Relationship to child
Child Name

First NameLast Name
Child Date of Birth

DayMonthYear
Date
Authorisation, Release and Consent

I consent to my child participating in squash related activities organised by the GSAI acknowledge the need for my child to behave responsibly
Medical information
Does your child have any conditions requiring medical treatment, including medication?

YesNo
If yes, please give details
Is your child able to take common cold medications such as Ibuprofen and paracetomol?

YesNo
Are you happy for this to be given if necessary?

YesNo
Does your child have any known allergies?

YesNo
If yes, please give details
Is there anything else we should know? If yes, please give details.
Photography & recorded images
I consent to GSA photographing or videoing my child’s involvement in squash for the purposes of publicising and promoting the club or sport.

YesNo
May we add your email to GJSA mailing list to keep you updated about junior squash activities?

YesNo
Parent/Carer Signature

Clear
Date Signed

DayMonthYear
Date
Should be Empty:

Parental consent form