Pre register / Consent & Health Screen Check.
Concorde Rangers requires parental consent before your child takes part in any football activities. By replying to this Pre register I am giving consent for my child to take part, you are confirming that you have read and understood the activities being offered to your child and agree with the measures the club has put in place to manage any risks, including its Covid-19 measures in line with current Government guidance.
A copy of the club’s risk assessment/management documentation (can be found here/

https://www.thefa.com/news/2021/mar/24/fa-guidance-for-return-to-grassroots-football-20210324 )

If your child has any specific medical conditions, please ensure that you discuss these with the club welfare officer and or coach and agree the best way to support your child’s needs e.g. you staying to watch nearby and taking responsibility to administer the medication. For your information the club may use a form such as the one in FA safeguarding Guidance Notes 8.2 to gather any relevant information from you. If your child has Covid-19 symptoms they must stay at home and follow Government advice.
If you wish to withdraw consent to your child participating in any or all activities, please notify Scott Buckley in advance, or as soon as possible.

Scott Buckley Welfare officer 07957118901
Email *
Self-screen prior to arrival *
Each participant should self-screen prior to arrival at training to ensure they do not have any of the following symptoms (confirmed by a parent for those underage 18), as these are potential indicators of Covid-19 infection. IF YOU TICK POSITIVE FOR THE FOLLOWING - PLEASE CONTACT YOUR WELFARE OFFICER (SCOTT 07957118901)
Check Negetive
Check Positive (see Above)
A high temperature (above 37.8 C )
A new continuous cough.
Shortness of breath.
A sore throat.
Loss of or change in normal sense of taste or smell.
Feeling generally unwell.
Been in close contact with/living with a suspected or confirmed case of COVID-19 in the previous two weeks.
At any time you can Edit your form or submit new one if Symptoms occur
Can you attend Osterley (Tentelow lane) Training or Match? *
By saying YES “I consent for mychild to take part”, you are confirming that you have read and understood the activities being offered to your child and agree with the measures the club has put in place to manage any risks, including its Covid-19 measures in line with current Government guidance.
Please enter date of Attendance *
MM
/
DD
/
YYYY
Junior Name : *
Select your Coaching Group *
Are you member of Concorde Club ? *
Contact Mobile No.
Submit
Never submit passwords through Google Forms.
This form was created inside of The Concorde Club. Report Abuse