Junior Player Profile Form - Hesketh Golf Club

(For Players Under the age of 18)

The safety and welfare of juniors in our care is paramount, and it is therefore important that we are aware of any illness, medical condition and other relevant health details so that their best interests are addressed.

In compliance with the Data Protection Act 2018, GDPR and all relevant data protection legislation, all efforts will be made to ensure that information is accurate, kept up to date and secure and that it is used only in connection with the purpose and activities of the organisation. Information will not be kept once a person is no longer a member of the organisation. The information will be disclosed only to those members of the organisation for whom it is appropriate and relevant officers of England Golf where necessary.

It is the responsibility of the junior and their parent to notify the Club Welfare Officer (CWO) or Secretary if any of the details change at any time.


Parent/Guardian Contact Information








Emergency Contacts









Medical Information

YES
 NO
YES
 NO
YES
 NO

Disability Information
The Equality Act 2010 defines a disabled person as ‘anyone with a physical or mental impairment, which has a substantial and long term adverse effect on his or her ability to carry out normal day to day activities’.
YES
 NO
YES
 NO
I confirm to the best of my knowledge that my child does not suffer from any medical condition other than those detailed above.
 I agree to notify the Club of any changes to this information.
 I give my consent that in an emergency situation, the club may act in my place (loco parentis), if the need arises for the administration of emergency first aid and/or other medical treatment which, in the opinion of a qualified medical practitioner, may be necessary. I also understand that in such an occurrence all reasonable steps will be taken to contact me or the alternative adult named in this form.
 The attached signature will denote that my child has my permission to be on the golf club’s premises.
 I acknowledge that the club is not responsible for providing adult supervision for my child, except for formal junior golfing coaching, matches or competition.
 I agree to my child being transported by club representatives to and from venues when he/she is representing the club.
 Confirm