Parental Consent form

Contact Details

Name of Parent/person with Parental responsibility

Name of Child

DoB (child):

Month

Day

Year

Contact Telephone number (Parent/person with Parental responsibility)

Alternative emergency contact Name

Alternative telephone number

Email (child, and Parent/person with Parental responsibility)

I/We agree to him/her taking part in activities including training away from the club’s base on

pavements/roads in and around Wymondham and the local area, road running, cross

country/trial running, track running, other organised activities as appropriate to WAC training

sessions.

I/We agree to him/her being photographed for media or group purposes

I/We give consent to emergency first aid if required

I am aware that any concerns about my/our child may be shared with relevant agencies

I have read the Athletics Welfare Policy and Procedures here

He/she has no special medical/dietary/cultural needs

Yes

No

he/she has the following medical/dietary/cultural needs, including any disability or behaviour which may need extra supervision by adults or special medical knowledge (delete as appropriate). Please include details below or in a separate sealed envelope

The organisers may ask for further details with regards to some medical needs or behaviour management. This is to ensure all children/young people and adults in the group can enjoy activities as safely as possible

Junior Members - Code of Conduct

We want you to be safe whilst taking part in activities during sessions and have decided that a code of behaviour may help you think about safety. At all times, either during WAC sessions or elsewhere we expect out junior members to abide by the following behaviours:

Treat everyone how I would like to be treated
No name calling or bullying
Be a good sports person
Have a good attitude, be friendly
Support each other
Listen to instructions and follow any rules
Arrive on time for activities with the appropriate clothes and equipment for the conditions
Ensure you communicate with your coach if you have any concerns/needs during the sessions
Always inform the Club Safeguarding Officer of any concerns/needs you have

To make sure everyone understands these points we would like you to read them with

your parents/carers and ask both of you to sign the form below. Most of all we hope

you enjoy running at Wymondham AC!

Confirmation

Date

Month

Day

Year

Child’s Signature

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Parent/Carer Signature

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