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East Sussex National

Seaford Golf Club

Bognor Golf Club

Cooden Beach Golf Club

Cowdray Park Golf Club

Dale Hill

Dyke Golf Club

Hill Barn Golf Club

Horsham Golf Club

Mid Sussex Golf Club

Piltdown Golf Club

Rustington Golf Club

Sedlescome Golf Club

Singing Hills

West Hove Golf Club

Willingdon Golf Club

Worthing Golf Club

East Sussex National

Seaford Golf Club

Bognor Golf Club

Cooden Beach Golf Club

Cowdray Park Golf Club

Dale Hill

Dyke Golf Club

Hill Barn Golf Club

Horsham Golf Club

Mid Sussex Golf Club

Piltdown Golf Club

Rustington Golf Club

Sedlescome Golf Club

Singing Hills

West Hove Golf Club

Willingdon Golf Club

Worthing Golf Club

Parental Consent Form

All junior golfers who take part in any Sussex County Golf activity MUST have a parental consent form completed.

All details from the form below are confidential and only accessible to Sussex County Golf staff, approved officials
and Coaches for the purpose of keeping juniors safe.

Please contact countyoffice@sussexgolf.org if you have any questions regarding the form.

Junior's Name
Gender Male
Female
Prefer not to say

Home Golf Club
Date of Birth
Home Address
Parent / Guardian Name
Relationship to child
Parent / Guardian Email address
Parent / Guardian Contact number

Registered Doctor's Name
Doctor Surgery Contact Number
Are there any medical issues / allergies / medication we should be aware of?
I consent to photographs of this player being used for promotional / social media purposes?
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’. Do you consider this golfer to have a d Visual Impairment
Hearing Impairment
Physical Disability
Learning Disability
None
If yes, Please detail below:

I confirm my child does not suffer with any medication condition other than stated above.
I agree to notify Sussex Golf of any change in medical information or allergies.
I agree being parent/guardian of the above named child, to give permission for a Sussex Golf representative to give necessary authority on my behalf for any medical or surgical treatment recommended by competent medical authorities, where it would be cont
Confirm

Sponsor of the Inter Club Scratch Knockout Tournament

Sussex County Golf

Dyke Golf Club

Devils Dyke Road

Brighton

BN1 8YJ

+44 (0) 1273 857 733

countyoffice@sussexgolf.org

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