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Consent Form

home / Consent Form

                 

GAA Membership Number:__________________________________

Name:__________________________________________________

Club / Scoil:______________________________________________

 

 

SCÓR PARENTAL/GUARDIAN CONSENT FORM

FOR ALL PARTICIPANTS UNDER 18 YEARS OF AGE

 

I/we agree to permit our child, ______________, to participate in GAA SCÓR competitions and rehearsals under the supervision of nominated Club and Coiste Náisiúnta Scór personnel.

I also agree that my child may be photographed or that recording footage may be taken of them during their participation in Scór solely for use in the promotion of Scór and Cumann Lúthchleas Gael activities.

Participant’s Name:                   ---------------------------------------------

Participant’s Date of Birth:        _ _ / _ _ / _ _

Does your child suffer from any allergies or medical conditions?  YES / NO

If YES, please state:

Medication: Is your child taking any prescribed/non-prescribed medication?

If YES, please state:

If your child requires any of this medication during their attendance and participation in Scór please inform one of the team mentors.

Note: GAA nominated personnel shall keep emergency medication of underage participants in a safe and accessible place in accordance with the wishes and permission of parents/guardians. GAA personnel do not administer medication or medical aid to children unless they have received the necessary training to administer such aid and have also agreed to do so with their Club and or Coiste Náisiúnta Scór and the child’s parents/guardians.

If your child requires emergency medical aid, including admission to hospital, do you consent?   

YES / NO

Parent / Guardian must inform the Club or Scór officials if their child’s medical needs change, after they have signed this form.

Guardian Signature(s):                  _______________                 _________________

Emergency Contact Number(s):    _______________                ______________­­­­­­­­­­­­­__

Date: ______________

    

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