Membership renewal for Juniors and Intermediates MUST be accompanied by a completed JUNIOR PERMISSION FORM.
 
I _________________________________________ the parent / legal guardian of

_________________________________________________________________
1. Photography
I hereby give permission for photographs to be taken of my child/children, provided that such photographs are taken by a CRB checked and authorised member of the Ormskirk Tennis Club Management or Junior Tennis Committee and are for the use of Ormskirk Tennis Club only. I understand any photographs taken may be displayed in Ormskirk Tennis Club's club house, used for the promotion of Ormskirk Tennis Club and may be used in local media reporting/advertising relating to Ormskirk Tennis Club.
Parent / Legal Guardian Signature: Date:
2. Medical consent
I herby give permission for my child/children (named at the top of this form) to be given basic First Aid (including the application of plasters/bandages and use of antiseptic cream/wipes), to call upon the emergency services and be treated as and when necessary, in the event of an accident at Ormskirk Tennis Club, by a CRB checked and authorised member of the Ormskirk Tennis Club Management or Junior Tennis Committee.
Parent / Legal Guardian Signature: Date:
3. Emergency Contact Information
1) Emergency Contact Name: Number:
Relationship to the child/children:
2) Emergency Contact Name: Number:
Relationship to the child/children:
4. Allergies / Medical Conditions
Please list any allergies and/or medical conditions that your child/children have which, during their attendance at Ormskirk Tennis Club, may affect them and therefore members of the Ormskirk Tennis Club Management and/or Junior Tennis Committee ought to be informed of:

Allergies

Medical
5. Supervision
I acknowledge and fully accept that whilst my child/children are in attendance of an activity organised by Ormskirk Tennis Club all efforts possible will be made to supervise my child/children at all times, however I acknowledge and fully accept that there may be occasions when this is not possible and therefore my child/children may be unsupervised for periods of time.
Parent / Legal Guardian Signature: Date:
For Office Use Only:
Date Form received by OTC:
Authorised Signature: Initials: