Girls Membership: Medical and Consent Form
This form is designed to be completed by the parent, or legal guardian of any player under the age of 18.

Please give information as fully as possible. Information is for those who are responsible for your safety and will only be held for this purpose, under the provisions of the GDPR.
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Full Name of Participant *
Date of Birth *
Age *
Full Address *
Postcode *
Parent/Legal Guardians Full Name *
Full address (if different to above):
Parent/Legal Guardians Contact Number *
Email Address *
Emergency Contact Name *
Emergency Contact Number *
PARENT/LEGAL GUARDIAN PARTICIPATION AGREEMENT: I agree to the child named above taking part in the activities of the club. *
Please detail below any important medical information that our coaches need to know, and which would be affected by your child’s participation in cricket activities. Such as: allergies; medical conditions (for example - epilepsy, asthma, and so on); current medication; special dietary requirements, any additional needs, and/or any injuries. Please indicate if you would like to discuss this privately with us.
Please provide the G.P. name, name of surgery and contact number.
These details may need to be used in a case of emergency.
Parent/Legal Guardians Consent
You and your child will be informed of information relating to safety involving cricket activity at training. Please be aware that whilst safety precautions are taken throughout the sport by its nature is not risk free.

Please be aware that photographs and videos will be taken during training, games and club social events and activities. Any photographs/video content may be used on our social media platforms and/or for marketing purpose. You are entitled to withdraw your consent(s) at any time. Any consent(s) withdrawn will not affect the validity of the consent(s) you gave before you withdrew it and you understand that the Club will be unable to remove any materials that has already been published or distributed. Further details about the Club Social Media policy including photography/videoing can be found on our website in the news/documents section.

Please indicate below your consent for medical and photography/video consent.    
I consent to my medical details to be shared with coaches/leaders for the purpose of the delivery of my safe participation in the cricket club activity. *
I give my consent to emergency medical treatment should it be deemed necessary by a qualified medical practitioner or first aider. *
I consent to the club photographing or videoing my child’s involvement in cricket in line with the club photography/video policy. *
If you do not wish to give consent for this, please contact us to discuss how we can manage any potential photography.
I give consent to the club to share my child(s) photography/video with cricket-related organisations;
Bradford Park Avenue Ladies club takes the protection of the data that we hold about you/your child as a member seriously and will ensure that the data is processed in accordance with data protection legislation.

Please request and read the full privacy notice carefully to see how the Club will treat the personal information that you provide to us.  

I declare that the information on this form is correct to the best of my knowledge and that if any changes occur before or during activities, I will inform the organisers.
I confirm that I have legal responsibility of my child.
Parent/Legal Guardians sign/initial *
Please write your name/initials as confirmation.
Date signed/initialled *
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