Junior Golf Coaching Booking / Medical Consent Form
Please complete this form if your child/children are attending any group golf lesson or golf camp with Rhys ap Iolo PGA Professional
*
indicates required
Name:
Email:
Comment:
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Email Address
*
Parent/Guardian Phone Number
Child's First Name
Child's Last Name
Child's Date Of Birth
Emergency Contact Number 1
Emergency Contact Number 2
Emergency Contact Number 3
Who is authorised to collect your child
Dietary Needs
Does your child have any dietary conditions or needs
Physical Needs
Does your child have any physical conditions or needs
Religious Needs
Does your child have any religious conditions or needs
Medical Condition/Needs
Does your child have any medical conditions or needs
Junior Academy Classes and Camps
I agree my child can attend Junior Academy Classes
I agree my child can attend Junior Academy Golf Camps
Photography and Video
I am happy for ApIoloGolf take photographs or coaching videos.
I am happy for these photos to be used in future publications
I am happy for photos or videos to be used on apiologolf website or social media channels
Treatment of Injury
I agree to the treatment of any injury to my child.
Code of Conduct
Your child is asked to act sensibly at all times.
I agree if a serious breach occurs it may result in my child's removal from activity
