FAVERSHAM GOLF CLUB JUNIOR OPEN 2021 PLEASE FULLY

FAVERSHAM CREEK CONSORTIUM MANAGEMENT GROUP MINUTES OF MEETING HELD
FAVERSHAM GOLF CLUB JUNIOR OPEN 2021 PLEASE FULLY
QUEEN ELIZABETH’S GRAMMAR SCHOOL FAVERSHAM STAFF ETHNICDISABILITY MONITORING THE



FAVERSHAM GOLF CLUB - JUNIOR OPEN 2013

FAVERSHAM GOLF CLUB - JUNIOR OPEN 2021

PLEASE FULLY COMPLETE THE FOLLOWING:


PARENT / GUARDIAN CONSENT FORM

Full name of child

Date of birth

Age (on 1st January 2021)

Full home address

Post code

Home telephone number

Mobile telephone number

Parent(s) email address




It is of utmost importance that you bring to our attention all medical conditions, allergies and/or illness that your child may suffer from, and whether he/she is currently receiving medical treatment of any kind. Please indicate below any health-related matter which you think we should be made aware of, including details of any prescribed medication and dosage, specific dietary requirements and allergies. All information given will be treated in the strictest confidence.

MEDICAL TREATMENT:

PRESCRIBED MEDICATION:

DOSAGE / FREQUENCY:

ALLERGIES:

DIETARY REQUIREMENTS:




“My child is in good health and I give consent to him/her participating in this golf event. I confirm that to the best of my knowledge, my child does not suffer from any medical condition other than detailed above. Should it be deemed necessary by a qualified medical practitioner, I give full permission for my child to receive essential emergency medical or surgical treatment.”

SIGNED (parent/guardian):

PRINT NAME (parent/guardian):





MEDICAL DETAILS – PLEASE PRINT

Child’s GP Name

Telephone Number of GP

GP Surgery Name & Address




EMERGENCY CONTACT DETAILS – PLEASE PRINT

Name

Relationship to Child

Home telephone number

Mobile telephone number

ALTERNATIVE EMERGENCY CONTACT – PLEASE PRINT

Name

Relationship to child

All contact numbers




I do / do not* consent to my child being photographed for possible inclusion in newspaper or golfing magazines etc (*please delete as necessary)


PLEASE NOTE:

IT IS THE DUTY OF THE PARENT OR GUARDIAN TO ADVISE US OF ANY AND ALL CHANGES IN THE INFORMATION STATED HERE, PRIOR TO THE JUNIOR OPEN TAKING PLACE. ALL INFORMATION ON THIS FORM WILL BE TREATED IN THE STRICTEST CONFIDENCE AND WILL NOT BE PASSED TO ANY THIRD PARTY UNLESS REQUIRED TO DO SO FOR HEALTH REASONS (e.g: if required by an attending doctor or medical personnel).



THIS FORM WILL BE DESTROYED AFTER THE 2021 FGC JUNIOR OPEN





Tags: faversham golf, fully, faversham, junior, please