Kids Cycling Session - Registration Form
Information and Parental Consent Form for participating in Coaching Sessions for Season 2019/2020
1. PARTICIPATING RIDER'S DETAILS
First Name *
Given Name of the Participating Kid
Family Name *
Family Name of the Participating Kid
Qatar ID Number *
If not available, Please enter the participant's Passport Number
Gender *
If not available, Please enter the participant's Passport Number
Date of Birth *
Date of Birth for the Participating Kid
MM
/
DD
/
YYYY
Age *
Age of the Participating Kid
Address *
Parent's Mobile Number *
Parent's Email Address *
Cycling Club
Only if Applicable
2. EMERGENCY CONTACT DETAILS
Person to Contact in case of Emergency
ICE First Name *
Given name of the person to contact in case of emergency
ICE Family Name *
Family name of the person to contact in case of emergency
Relationship to the Participating Kid *
ICE Contact Number *
Contact Number for the Person to contact in case of emergency
3. MEDICAL AND SPECIFIC NEEDS
Medical and Specific Needs *
Please give details of any medical or health conditions that might affect the kid's participation in cycling and what support / modifications are needed.
Medications *
Please List any medications you take on a regular basis
Medical Support & Modification *
Please give details of any specific needs that the coach should be aware of, and what support / modifications are needed
4. OTHER RIDER INFORMATION
Previous Cycling Experience *
Other Sports *
What other sports do you participate in regularly? How Often?
Why are you attending the training sessions? *
What do you want to achieve from the sessions? *
In the long term, what do you want to achieve from your participation in cycling? *
Please detail any other specific information that is relevant to participation in cycling activity sessions *
5. CONSENT FOR PARTICIPATING IN COACHING ACTIVITIES
PARENTAL / GUARDIAN CONSENT

I, Being the parent / guardian of _____________________________ (name of child), have read the information on this form and the following notes, and consent to my child taking part in the coaching sessions. I understand and agree that my Son / Daughter participates in the coaching sessions under the instruction of a coach entirely at his / her own risk. I have considered the nature of such sessions and have discussed them with my son / daughter. I am satisfied that my son / daughter is sufficiently responsible and competent to assume full and entire responsibility for his / her own safety under the supervision of a coach.


NOTES
* It is part of the QCF and QTF Code of Conduct for coaches to ensure that reasonable steps are taken to establish a safe environment where young athletes can enjoy developing their cycling and triathlon skills. Parents / guardians are welcome to stay and watch the session but it is not compulsory.

* Young athletes are expected to remain in the session from beginning to end, unless they have to leave early. If the athlete has to leave early, or is being collected by someone other than the parent / guardian, the parent . guardian must advise the coach of the details of the arrangement, including those who will be collecting the athlete.

* Any young athletes who persistently misbehave or put others in danger will be asked to leave the sessions and will not be allowed to attend in future.

* It is the parent's / guardian's responsibility to ensure that his / here child's bike is in a safe condition to ride.

* All young athletes must wear a cycling helmet at all times, while riding a bike.


Please ensure you make a note of any medical conditions for your child has / you feel the coach should know about in Section 3 of this form. If you have any concerns about your child participating in any form of physical activity, please consult your GP before giving permission for your child to take part in the coaching sessions.



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