Consent for Under 18 Match Officials Form

APPENDIX 1A – CONSENT FORM FOR U18 MATCH OFFICIALS The information in red should be amended to the relevant details of the tournament/ competition. It is important for Tournament/Competition Welfare Officers to be aware of any medical conditions of match... More

APPENDIX 1A – CONSENT FORM FOR U18 MATCH OFFICIALS The information in red should be amended to the relevant details of the tournament/ competition. It is important for Tournament/Competition Welfare Officers to be aware of any medical conditions of match officials, especially those who are U18. This form should be sent directly to the match official and their parent/carer and returned at least 1 week prior to the tournament/competition. Surname Forenames Mr/Mrs/Miss/Ms Address Including Postcode Date of Birth Mobile No Home Phone Email Emergency Contacts’ Details (one must be a parent or guardian, if possible, please provide two contacts) Name Relationship Parent/Guardian Mobile No Home Phone Name Relationship Mobile No Home Phone Medical (all details are to be treated as private and confidential) Current Medical Conditions (e.g. Asthma, Diabetes, Epilepsy, Allergies etc.) Current Medications or Medical Requirements Do you consent to pitch side treatment being given by YES NO the Sport Less