Midland Junior County Delegates

MIDLAND GOLF UNION LTD

PARENTAL CONSENT FORM

In caring for the best interests of your son/daughter it is important that the Midland Golf Union know whether he/she suffers from any medical condition or illness, or whether he/she is currently receiving medical treatment of any kind

Please indicate below, in confidence, any heath related matters including injuries of any kind, which you think it is best we know about, including details of any prescribed medicine and dosage or of any special dietry requirements. If none type N/A

My son/daughter is in good heath and consent to him participating in events and activities organised by the Midland Golf Union.

I consent to my son/daughter receiving essential medical treatment, as necessary, when the treatment is prescribed by a qualified medical practitioner.

I consent to my son/daughter being photographed for the purpose of publicity.

IN THE EVENT OF ANY CHANGES TO THE ABOVE INFORMATION, PLEASE NOTIFY:

Neil Harris
MGU Secretary
8 Lyndhurst Avenue, Skegness, Lincolnshire PE25 2QD

Tel: 01754 763159

M: 07906 156701

E: secretary@midlandgolfunion.co.uk