Parent/Guardian Consent Form
Name of Club
Player’s Details
Name: Address:
DOB: Post Code:
Contact Number: Email:
Emergency Contact Details
1. Name: Contact Number:
2. Name: Contact Number:
Medical Information
Please provide any details of medical conditions the player has:
Parental Consent
By returning this completed form I agree to the child named above taking part in the
normal activities of the club. I have read the Code of Conduct for both players and
parents/guardians and agree to abide by those whilst in the care of the club and I
understand that any serious or continued breach of these codes may result in my
child being expelled from the club.
Parent/Guardian Name:
Signature: Date:
Photography
From time to time the club may wish to take pictures for promotional use in local,
regional or national media to promote the work of the club. Any photographs taken
will be used solely for promotional purposes. Please sign below to indicate your
agreement for pictures to be taken for the above reasons.
Parent/Guardian Name:
Signature: Date: