Does your child have any known health needs? E.g. Diabetes, asthma, epilepsy, allergies. Yes / No
Name: Dose: Frequency: What does the Club need to do to help keep your child well e.g. administer planned medication/call ambulance/give snacks? Please be very specific.
Does your child have any communication needs e.g. non-English speaker/hearing impairment/sign language user/dyslexia. If yes please tell us what we need to do to enable him/her to communicate with us?
Does your child participate in religion or spiritual practice? Please tell us what it is. What do we need to know to ensure your child’s preferences/needs are met e.g. are there any dietary guideline/dress codes we need to follow or support?
At times the Club may wish to take photos or videos of the team or individuals in it. We adhere to The FA Guidelines to ensure these are safe and respectful and used solely for the purposes for which they are intended, which is promotion and celebration of the activities of the Club and for training purposes. Please indicate if this is acceptable to you Yes No If you have any additional information which you wish to share with the Club, please contact the club Designated Person.
Arrangements will be made to collect and return children to specific pick up points. The Club’s responsibility stops and starts at these points. It is your responsibility to arrange safe travel to and from the pick up points. If you are ever delayed in collecting your child, please make every effort to contact the Club Contact or the escorting helpers so we can discuss arrangements for your child.
There may be occasions when your child is involved in planned and structured non-football activities such as a trip to the cinema, bowling or participating in a fund raising event. The Club will have collected appropriate information in preparation for the activity (e.g. about the journey, the children’s various needs and helper skills), identified any potential risks or dangers, minimised the risks and dangers by careful planning and precautions and made sure we know who is responsible for putting precautions into place (e.g. who will carry the First Aid kit). This process is called a risk assessment.
There may be occasions when your child is involved in planned and structured unsupervised non-football activities (e.g. shopping trips) whilst on tour. Players will only be permitted to participate in these activities if it is considered appropriate to do so. You will be informed prior to the event if any form of remote supervision will take place for such activities and the nature of these activities.
I give consent for my son/daughter to participate in Greatham Football Club’s events and agree to the conditions outlined above. I accept that it is my responsibility to inform the Club directly of any changes to the details recorded on this form Signed (Legal carer):
Please date for confirmation
I agree to participate in Greathams Football Club’s events as detailed above and agree to adhere to guidelines and or codes of conduct that may be issued in the interest of my own safety. (This applies to players aged over 11 years of age at time of signing) I will take part in Greatham Football Club’s activities and will stick to the Club rules. I will tell the coach or another person if I do not feel well or if I have any worries. (This applies to players aged under 11 years of age at time of signing)