Sussex County Ladies' Golf Association Ltd

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Player Profile Form

All junior golfers who take part in any Sussex County Golf activity MUST have a parental consent form completed.

All details from the form below are confidential and only accessible to SCLGA/Sussex County Golf staff, approved officials
and Coaches for the purpose of keeping juniors safe.

Please contact sclgajuniororganiser@gmail.com if you have any questions regarding the form.

Any child who arrives to play in an event for whom we do not hold such a form will be unable to play.

Player First Name
Player Surname
Gender

Home Club
Date of Birth
Email
Telephone Number
Home Address
Parent/Guardian Name
Relationship to Child
Parent/Guardian Email Address
Parent/Guardian Telephone Number
Emergency Contact Details (in addition to parent/guardian). Please provide name, telephone number(s) and relationship to child
MEDICAL INFORMATION
Child Doctors Name
Child Doctors Contact Number
Child Doctors Address (Surgery & Town)
Does your child experience any conditions requiring medical treatment and/or medication? Yes
No
If Yes, please provide details
Does your child have any allergies Yes
No
If Yes, please provide details
Does your child have any specific dietary requirements? Yes
No
If Yes, please provide details
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 any of the below apply Visual Impairment
Hearing Impairment
Physical Disability
Learning Disability
None
If Yes, please provide details
I confirm my child does not suffer with any medication condition other than stated above.
I agree to notify Sussex Golf/SCLGA of any change in medical information or allergies.
I agree being parent/guardian of the above named child, to give permission for a SCLGA/Sussex Golf representative to give necessary authority on my behalf for any medical or surgical treatment recommended by competent medical authorities, where it would b
I consent to photographs of this player being used for promotional / social media purposes?
Confirm

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Registered Office: Dyke Golf Club, Devil’s Dyke Road, Brighton, East Sussex BN1 8YJ. Admin Login