Junior Profile and Parental Consent Form

Junior Profile and Parental Consent Form

Teignmouth Golf Club
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 Child or their parent to notify Teignmouth Golf Club to change any details at any time. Tel: 01626 777070 or Email: info@teignmouthgolfclub.co.uk

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 only used in connection with the purpose and activities of the organisation. Information will not be kept once a person is no longer a member of the organisation. information will be disclosed only to those members of the organisation for whom it is appropriate.
Childs Personal Data
Title*
Name*

First NameLast Name
Home Phone Number
Please enter a valid phone number.Format: (00000000000).
Mobile Phone Number*
Please enter a valid phone number.Format: (00000000000).
MaleFemale
Email Address*

Confirmation Email
Date of Birth *

DayMonthYear
Address

Street Address

Street Address Line 2

City / TownCounty

Post Code
Home Club
Your Member No (formally CDH) is a unique 10 digit number provided by England Golf and is available from your Club Secretary/Manager.
If you do not have a Member Number yet, please enter 54 as your Handicap
WHS Handicap Index (nearest whole number)
Parents Personal Data
Title*
Name*

First NameLast Name
Relationship to child
Address

Street Address

Street Address Line 2

City / TownCounty

Post Code
Emergency contact number*
Please enter a valid phone number.Format: (00000000000).
Medical Information
Doctors Name / Surgery *
Doctors / Surgery telephone number*
Please enter a valid phone number.Format: (00000000000).
YesNo
If yes please give details including medication with dosages and frequency
YesNo
If yes please give details
YesNo
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'.
YesNo
If yes what is the nature of the disability
YesNo
If yes what do we need to to enable them to communicate with us fully
Please Read Our Children and Young People Safeguarding Policy and Procedures at the link below before answering the next 3 questions.
PDF: Children and Young People Safeguarding Policy and Procedures – Reviewed & Updated July 2020 (teignmouthgolfclub.co.uk)
Q1. Code of Conduct for Young Golfers

Appendix 5 - Children and Young People Safeguarding Policy and Procedures
YesNo
Q2. Code of Conduct for Parents and Carers

Appendix 6 - Children and Young People Safeguarding Policy and Procedures
YesNo
Q3. Photography

Appendix 11 - Children and Young People Safeguarding Policy and Procedures
YesNo
Parental Guidance

Appendix 12 - Children and Young People Safeguarding Policy and Procedures
- Appendix 12
  
  Guidance for parents
  
  Teignmouth Golf Club is delighted to welcome you and your child to what we hope is the first of many events that you will be taking part in.
  
  The positive effect of your support, as a parent, can’t be overstated. Your behaviour has a real influence on the way your child experiences golf.
  
  First things first – why is your child showing an interest in the sport? Is it to learn a new game? To hang out with their friends? Because they did it in school and liked it? Or because you play?
  
  Make sure they’re playing for their own reasons, not yours.
  
  To enable us to provide the best possible experience for you and your child, we kindly request that you read through the following guidance and complete the digital form.
  
  Take an interest in your child’s activity and progress and be supportive.
  
  Familiarise yourself with the Teignmouth GC Safeguarding Policy at this link.
  
  Familiarise yourself with:
  A. Codes of Conduct for parents, coaches, children and young people.
  B. Transport Policy.
  C. Changing Room Policy.
  D. Photography, Videoing and the use of Social Media Policies.
  
  Completing this Parental Consent Form will enable event organisers to cater for any particular needs that your child may have (e.g. medical conditions and medications, allergies, learning difficulties etc.), as well as contact you in the unlikely event of an emergency.
  
  Be punctual when dropping off and picking up your child from coaching/ events. It is important to communicate with the club if collecting your child after an event/coaching session may cause a problem.
  
  Introduce yourself to the adults involved in the supervision of your child.
  
  When leaving your child, make sure they have the necessary provisions for the day, including the ability to meet the requirements of changing weather conditions.
  
  Please ensure that your mobile is switched on when you are away from the club, so that you can be contacted in an emergency.
  
  Encourage your child to take part and support club activities such as coaching & competitions.
  
  Help your child to arrange golf with other juniors away from club organised activities so they have someone to play golf with.
  
  As a parent/carer you are encouraged to:
  Discuss any concerns regarding the organisation of activities or the behaviour of adults towards your child with the Club Welfare Officer, who will treat any concerns you or your child may have in the strictest confidence
  
  England Golf Lead Safeguarding Officer is also available for advice: 01526 351824.
  
  Club Welfare Officer
  Lorna Elliott
- Have we missed anything?
- Please provide any further details that you feel we should be aware of
- Declarations
- a. I confirm that to the best of my knowledge that my Child does not suffer from any medical condition, allergy, special dietry requirent, disability or special communication need other than those entered above. furthermore, I agree to notify Teignmouth Golf Club of any changes
  
  b. I hereby give permission for Teignmouth Golf Club responsible person to give the immediately necessary authority on my behalf for any medical or surgical treatment recommended by competent medical authorities, where it would be contrary to my Child's interest, in Doctors medical opinion, for any delay to be incurred by seeking my personal consent
  
  c. My Child has my permission to be on the golf club's premises
  
  d. I acknowledge that Teignmouth Golf Club 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 Teignmouth Golf Club to and from venues when representing Teignmouth Golf Club
- Yes
- Name*
  
  First NameLast Name
- ParentGuardian
- Signature*
  
  Clear
- Date*
  
  DayMonthYear
  Date
- Should be Empty:

Junior Profile and Parental Consent Form

Childs Personal Data

Parents Personal Data

Medical Information

Disability

Please Read Our Children and Young People Safeguarding Policy and Procedures at the link below before answering the next 3 questions.

Q1. Code of Conduct for Young Golfers

Q2. Code of Conduct for Parents and Carers

Q3. Photography

Parental Guidance

Have we missed anything?

Declarations