This form must be completed by the parent or legal guardian of any player under the age
years old. By
completing this form you are helping to ensure the correct guidelines are in place to
the welfare of children
playing at our club.
Details of Any Known Medical Conditions and Medication Received:
The Disability Discrimination Act 1995 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’.
If yes, what is the nature of their disability?
I confirm that I have read the club’s policies and procedures document, in particular:
If your child is under 16 years of age we would ask you to discuss the Players Code of