Roundhay Tennis Club Adult Player Consents

Roundhay Lawn Tennis Club

Details on this form will be held securely and will only be shared with coaches or others who need this information in order to meet specific needs.

If these details change please inform rltcwelfare@gmail.com
Name*
Date of birth*

MonthDayYear
Date
Please detail any important access, faith, medical or additional needs that our organisation needs to know. Such as allergies, medical conditions e.g. asthma, epilepsy, orthopaedic problems, any current medication, special dietary requirements and/or any injuries.
PRIMARY EMERGENCY CONTACT
Name*
Relationship *
Address*
Mobile*
Email*
example@example.com
Video & Photography Permission
In accordance with our photography and filming policy we will not permit photographs, video or other images to be taken without the consent.

The club will take all steps to ensure these images or video are used solely for the purposes they are intended which are as follows:

within the club for display purposes

within other printed publications

on the club social media pages

only using the first names of children, unless specifically requested below.
If you become aware that these images are being used inappropriately you should inform the club immediately.
The club may use photos/videos of you for the duration you attend the club.
I give permission for

my photograph to be used on the club websiteme to be videoed for use on the club websitemy photograph to be used on the club's social mediame to be videoed for use on the club's social mediamy photograph to be used by the club for display purposes
I understand (tick to confirm consent)
and will comply with the club photography and filming policythe potential risks associated with the use and distribution of these imageshow the images or videos will be stored within the organisation and how long forthat if I withdraw consent for my image to be used or shared in the future, it may not be possible to remove images that have already been published or distributed.that at may events, the club and others will reasonably wish to take wide angle, general photos during or at specific points in the eventthat I must gain permission before sharing photographs/videos of other people's children on social media.
We have a Code of Conduct which we expect all members to follow. Please click the link below and confirm.
Name
Date

MonthDayYear
Date
Signature

Clear
Should be Empty:

PRIMARY EMERGENCY CONTACT

Video & Photography Permission

The club may use photos/videos of you for the duration you attend the club.

We have a Code of Conduct which we expect all members to follow. Please click the link below and confirm.