Players Name House Number & Street Name Town / City Post Code Email Address CDH Number Telephone Number Parents Name Mobile Number Work Number Has the child any Dietry Requirments
In caring for the best interests of your son it is important the Dorset County Golf Union (DCGU) know whether he suffers from any medical condition or illness, or whether he is currently receiving medical treatment of any kind.
Please indicate below any health related matters, including injuries, details of any allergies, prescribed medicine and dosage or of any special dietary requirement which you think it is best we know about. Any information given will be treated in the strictest of confidence however please be aware that this information will be passed on to the Medical Emergency services should the need arise.
Does Your Child have a Allergy or Medical Condition Yes No Allergies/ Medical Conditions Childs Doctor Doctor/ Practice Contact Number Please uncheck the box if you disagree to this:
I, b ei ng p are n t/ gu ar di an of t he a bove n a m ed c hil d, h ere by g i ve per mi ssi on for the C ounty responsi ble person to gi ve the i mm edi ately necessary a u t ho r i ty on my b e h alf f or a ny m e di cal or s u r gi cal treat m e nt reco mm e nd ed by c omp ete nt medical author i ti es, w here it w ould be contrary to my chil d’s i nterest, in the doctor's m edi cal op i ni on, for any del ay to be i ncurred by seeki ng my personal consent. Medical Consent Full Name of Person giving Authority Preferred email address
USE OF PHOTOGRAPHIC EQUIPMENT AT DORSET COUNTY GOLF UNION CHAMPIONSHIPS
The Dorset Count Golf Union (DCGU) recognises the need to ensure the welfare and safety of all young people in golf. As part of our commitment to ensure the safety of young people, we will not permit photographs, video images, or other images of young people to be taken or used without the consent of the Parents/ Carer and the young person.
DCGU will follow the guidance contained within the Children in Golf Strategy Group Policy and Procedures (which can be viewed at
DCGU will take steps to ensure that these images are used solely for the purposes they are intended, which is the promotion and celebration of the activities of the DCGU.
If you become aware that these images are being used inappropriately, or the young person wishes their image to be removed from the DCGU website you should inform the County Secretary immediately:
01202 861185 Photographic Consent Yes No