General & Medical information

Please complete the following details. If none, please state “none”

1. Does your child have a disability/medical condition that will affect their ability to take part in sport? If yes, please give details below

2. Does your child take any medication? If yes, please give details below

3. Does your child have any existing injuries (include when injury sustained, & treatment received)? If yes, please give details below:

4. Does your child have any allergies, including allergies to medication? If yes, please give details below:

5. Is there any other relevant information which you would like us to know about your child? (e.g., access rights, disabilities, etc.)

Under 18yrs membership & partnership form with Parents & Guardians

Consents

Medical Treatment: I consent / I do not consent (delete as appropriate) to my child receiving medical treatment, including an aesthetic, which the medical professionals present consider necessary.

Photographs & filming & publications including websites & social media Your child may be photographed or filmed when participating in the club’s official activity.

I consent / I do not consent (delete as appropriate) for my child to be involved in photographing/filming & for information about my child to be used in accordance with the Safe in Sport – Good Practice Guidelines.

Signature

Parent / Guardians Signature Print name and Date:

(Please state relationship to child if not parent)

Boxing Training including tag sparring

I, being the parent /guardian of the child on this form, have read the information contained on this form & hereby consent to my child taking part in boxing activity sessions including sparring.

I understand & agree that they participate in boxing sessions under the instruction of the club’s coaches & staff entirely at their own risk.

I have considered the nature of such sessions & discussed them with my child. I am satisfied that they are sufficiently responsible & competent to assume responsibility for their safety under the supervision of the club’s coach & staff.

I confirm that my child does not have any medical disability or medical condition (not disclosed above) that could affect their ability to participate safely in boxing sessions.

By returning this completed form, I agree to my child taking part in the activities of the Moreno Boxing LTD:

I understand that I will be kept informed of these activities

I understand in the event of injury or illness all reasonable steps will be taken to contact me, & to deal with that injury/illness appropriately.

I have viewed & understand the Safeguarding Protection Policy. I agree that my child has my consent to participate in Boxing/Training activities.

I release The Moreno Boxing LTD & their staff from all liability, costs & damages which might arise from my participation in boxing activities.

The Moreno Boxing LTD understands through negligence by law this disclaimer would be overwritten.

Parent / Guardians Signature

Print name

Date:

Child’s signature if over 8yrs old: