Enfield Golf Club

Junior Application Form

The safety and welfare of children in our care is paramount, and it is therefore important that we are aware of any illness, medical condition and other relevant health details in order that their best interests are addressed. Please complete this form with our assurance that the information will be treated as confidential.

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 the General Manager if any of the details change at any time.

Please read the following documentation prior to submitting your form.

Please complete the form below -

Junior Surname
Junior First Name(s)
Date of Birth
Address
Town
Postcode
Telephone Number
Name of Parents/Guardians (1)
Parents/Guardians Address (1), including postcode (if different from above)
Parents/Guardians (1) Home Telephone Number
Parents/Guardians (1) Mobile Telephone Number
Parents/Guardians (1) Work Telephone Number
Parent/Guardian Email Address (1)
Name of Parents/Guardians (2)
Parents/Guardians Address (2), including postcode (if different from above)
Parents/Guardians (2) Home Telephone Number
Parents/Guardians (2) Mobile Telephone Number
Parents/Guardians (2) Work Telephone Number
Parent/Guardian Email Address (2)
Emergency Contact Name (1)
Relationship to Child (1)
Home Telephone Number (1)
Mobile Telephone Number (1)
Work Telephone Number (1)
Emergency Contact Name (2)
Relationship to Child (2)
Home Telephone Number (2)
Mobile Telephone Number (2)
Work Telephone Number (2)
Please confirm details of all those with Parental Responsibility for the Child
Child's Doctor's Name
Doctor's Surgery Address, including postcode
Doctor's Telephone Number
Does your child experience any conditions requiring medical treatment and/or medication? Yes
No
If yes, please give details below
Does your child have any allergies? Yes
No
If yes, please give details below
Does your child have any specific dietary requirements? Yes
No
If yes, please give details below
What additional needs, if any, does your child have e.g. needs help to administer planned medication, assistance with lifting or access, regular snacks?
The Equality Act 2010 defines a disable 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'
Do you consider your child to have a disability? Yes
No
If yes, what is the nature of the disability?
Other - please specify
Does your child have any communication needs e.g. non-English speaker/hearing impairment/sign language user/dyslexia? If yes, please tell us what we need to do to enable him/her to communicate with us fully.
Confirm

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