BWB03 Player Consent Form 2019/20
Please answer the questions below and provide any further detail you consider important
Player Name *
Your answer
Parent's Name *
Your answer
Parent's Email *
Your answer
Parent(s) Mobile Number(s) *
Your answer
Medical Detail
Any relevant information concerning your child’s health requiring special attention but which does not prevent him/her taking part should be noted below.
Please check if 'yes'
Other Medical Detail
Please supply further detail deemed relevant
Your answer
Family Circumstances/other details
Is there any information you would like to share with us that may be helpful in catering for the needs of your child?
Your answer
Swimming Ability
Is your child able to swim 25 metres? YES/NO Any comments:
Photography, Film and Social Media
The Trust uses various forms of media for marketing, promotional, news, educational and grant application purposes. Please mark on the list if YOU DO CONSENT AND ARE HAPPY for child’s name or photograph to be used in any of the various forms of media:
Bath & Wiltshire School Sports Trust Website
BWB03 Website
BWB03 Instagram
Film: YouTube/Vimeo/BWB Productions
I consent to:
GDPR and Parental General Consent
Completing this form acts as consent for the School Sports Trust and BWB03 to collate and retain the information relating to your child, family and personal details provided. The Trust, BWB03 Staff are granted to retain these details for the course of the season and for the duration in participation as a BWB03 representative. Any changes in circumstances: parents or guardians are advised to inform BWB Staff, upon request your details can be removed and destroyed. The Trust and BWB03 do not share information with third parties.
Signed *
Please type in your name to act as your signature and digital consent. Thank you.
Your answer
Date *
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