Youth Coaching Parental Consent

To participate in the Youth Coaching, we require the details of the rider and the parent or guardian. This is to make sure we have the correct information for holding the course, our insurance, and any communication with the parent/guardian or rider.

Please also read the terms and conditions and rider code of conduct before you proceed futher.

Once the form is completed we will send you an invoice to pay for the season.

Child name*

First NameLast Name

Age of child

Participants must be between 6 - 17 years old at the start of a season.

Date of Birth*

Date

Parent / Guardian name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityCounty

Postcode

Parent / Guardian email*

example@example.com

Emergency contact 1 name*

First NameLast Name

Emergency contact 1 number*

Please enter a valid phone number.

Emergency contact 2 name

First NameLast Name

Emergency contact 2 number

Please enter a valid phone number.

I agree that my child can be videoed/photographed (these may be used for promotional purposes).*

YesNo

Please confirm that the child has the following to take part*

HelmetGlovesOff-road bike (knobbly tyres)

Medical and specific needs
It is the responsibility of the parent/guardian/carer to provide the club with details of any medical or health conditions, neruodiversity, allergies, dietary or other specific needs that might affect the child's ability to participate in cycling. With this information coaches can provide support/modification their teachings to help every rider feel equal. It is very important to give as much detail as possible.

All information is received in confidence and is only shared amoungst the coaches and Welfare Officer.

Please note that coaches are unable to provide guidance or make decisions relating to medical or health conditions. If you have any concerns about participating in any form of physical activity, please consult with your GP before signing the consent form.

Please also list any medications they take on a regular basis.
(This information may be required by the emergency services in the event of an incident).

Details of any medical conditions*

If there are no medical conditions, please type 'None'

Parental/Guardian consent

I have read and understood the information on this form as well as the terms and conditions of participation and the rider code of conduct, and the club/coaching team has satisfactorily answered any questions I have asked. I understand and agree that the child listed above will participate in coached sessions entirely at their own risk. I confirm that the information I have provided is correct and complete to the best of my knowledge.

Application & Parental Consent Form