Brokenhurst Manor Golf Club

Junior Consent Form

Parental Consent

Please see below the Junior Consent criteria. 

Personal Information

Emergency Contact Information

Medical Information None
Sensitivity to Bites/Stings
ALLERGIC TO FOODS CONTAINING; Cereals that contain gluten, Crustaceans, Eggs, Fish, Peanuts, Soybeans, Milk, Nuts, Celery, Mustard, Sesame, Sulphur Dioxide, Lupin or Mollusc. IF YES, PLEASE SPECIFY


I consent to my child taking part in the golfing activities under the auspices of the Brokenhurst Manor Golf Club.  In the unlikely event of an accident or illness requiring emergency medical, hospital or dental treatment, I authorise Brokenhurst Manor Golf Club or its agents to sign on my behalf any written form of consent required by a hospital, medical or dental authority if delay in obtaining my signature is considered inadvisable by the doctor, dentist or surgeon.  (In any such eventuality every attempt would be made to contact you).  I also consent to the use of photographic, video and other images being published solely in relation to the promotion and celebration of the activities of the club in sports websites, newspapers or magazines.


Created by intelligentgolf version 10.1.2
CONGU® is Copyright Council of National Golf Unions.