Dream Team Consent Form

Anything written on this form will be held in confidence. Our coaches need to know these details in order to meet the specific needs of your child. I give permission for my child to attend for training and playing sessions.

Child’s Full Name: *

Address *

Home Tel No. *

Age *

Date of Birth *

Gender (Male/Female) *

Emergency Tel No *

If unavailable contact

Name *

Tel *

Relationship to child *

GP/ Doctor’s Name *

GP / Doctor’s Tel No *

Details of any known special dietary requirement / allergies / medical conditions *

Any other special needs, requirements, directions, that would be helpful for the coaches to know about *

I will inform the coaches of any important changes to my child’s health, medication or needs and also of any changes to our address or phone numbers given.

In the event of illness, having parental responsibility for the above named child, I give permission for medical treatment to be administered where considered necessary by a nominated first aider, or by suitably qualified medical practitioners. If I cannot be contacted and my child should require emergency hospital treatment, I authorise a qualified medical practitioner to provide emergency treatment or medication.

I confirm that all details are correct to the best of my knowledge and I am able to give parental consent for my child to participate in & travel to all activities

Parent / Guardian *

Date *

Please return this form to the relevant Coach or Manager of your age group

Dream Team Photo/video Consent Form

Player Name *

Date *

Yes, I grant permission for the Dream Team to take photos and/or video for the purpose of promoting the Dream Team program. And I do understand the photos/video will be posted on Dream Team’s social media pages and promotional print materials.

Signature of Parent/Guardian: *

Please contact Dayna Ryan with any questions at 231-883-5747. Thank you.

Submit

Dream Team Consent Form

​Dream Team Consent Form

Dream Team Consent Form