2026 Player Profile and Parental Consent

2026 Player Profile and Parental Consent

(For players under the age of 18)
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.

In compliance with the Data Protection Act 2018, GDPR and all relevant data protection legislation, 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 organisation. Information will not be kept once a person is no longer involved with Norfolk Ladies' County Golf Association. The information will be disclosed only to those members of the organisation for whom it is appropriate and relevant officers of England Golf where necessary.

It is the responsibility of the junior and their parent to notify the County Welfare Officer Harriet Allsebrook if any of the details change at any time.
Junior Name*

First NameLast Name
Birth Date*

MonthDayYear
Telephone number
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Parent/Carer Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Email*
example@example.com
Mobile number*
Home number
Work number
Emergency Contact. 1*

First NameLast Name
Relationship to child*
Email*
example@example.com
Mobile number*
Home number
Work number
Emergency Contact. 2*

First NameLast Name
Relationship to child*
Email*
example@example.com
Mobile number*
Home number
Home number
Medical Information
Child's Doctors Name*
Telephone number
Doctors Surgery Address*

Street Address

Street Address Line 2

CityCounty

Post code
Does your child experience any conditions requiring medical treatment and/or medication?*

YesNo
*If yes please give details, including medication, dose and frequency.
Does your child have any allergies?*

YesNo
*If yes please give details.
Does your child have any specific dietary requirements?*

YesNo
*If yes please give details.
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?*

YesNo
*If yes what is the nature of the disability?
Does your child have any communication needs e.g. non-English speaker/ hearing impairment/ sign language user/ dyslexia?*

YesNo
If yes, please tell us what we need to do to enable him/her them to communicate with us fully
Consent from Parent/Legal Carer:
I confirm to the best of my knowledge that my child does not suffer from any medical condition other than those detailed above. I agree to notify NLCGA of any changes to this information.on*

YesNo
I agree that both myself and my child has read and understood the NLCGA code of conduct*

YesNo
I give my consent that in an emergency situation, NLCGA may act in my place (loco parentis), if the need arises for the administration of emergency first aid and/or other medical treatment which, in the opinion of a qualified medical practitioner, may be necessary. I also understand that in such an occurrence all reasonable steps will be taken to contact me or the alternative adult named in this form.*

YesNo
I acknowledge that NLCGA is not responsible for providing adult supervision for my child, except for formal junior golfing coaching, matches or competition.*

YesNo
I agree to my child being transported by County representatives to and from venues when she is representing the County and at County activities*

YesNo
I am happy to received news about Junior activities from the NLCGA*

YesNo
I agree to photography or videoing of my child under the stated rules and conditions of NLCGA Photography Policy to celebrate success and to promote Norfolk Junior Girls’ Golf.

YesNo
By signing this document I confirm that I have legal responsibility for
blanks I am entitled to give this consent and I am aware of how the information I have provided may be used.
Signature of Parent/Carer

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First NameLast Name
Date

MonthDayYear
Date
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2026 Player Profile and Parental Consent

Medical Information

Disability

Consent from Parent/Legal Carer: