South Eastern Group

Parental Consent Form - 2024

Player's First Name
Player's Surname
Home Club
WHS Number
Address
Postcode
Player's Date of Birth
Email Address for correspondence
Parent/Guardian's Name
Parent/Guardian's Telephone No.
Parent/Guardian's email address
Other Emergency Contact's Name
Other Emergency Contact's Telephone No.
Name and Address of Player's GP
Player's GP Telephone No.
Does the player have any Medical, Dietary or other Physical requirements

If Yes please provide full details
Do you give consent for your son to receive essential medical treatment when administered by a person qualified to do so?

Do you give consent to the use, by SEG on its website, of photographs of your son taken at the 2024 SEG Boys' Championship.

I confirm that I have read the SEG Child Protection Policy

I understand that SEG will only use data collected in this form (and during the entry process) for the purposes of the 2024 SEG Boys' Championship as set out in the SEG Data Protection Policy and I agree that SEG may contact me/my son in this regard

I confirm that I am the Parent/Guardian of the player mentioned above and that I consent to my son playing in the 2024 SEG Boys' Championship

Name of Parent/Guardian submitting this form
Confirm

Created by intelligentgolf version 10.1.2.