Cippenham Table Tennis Club

Junior Coaching Contact Details, Permissions and Agreements

Completion of this form is required for all attendees of junior coaching sessions at Cippenham Table Tennis Club and the information collected herein is intended for the welfare and protection of all attending.

Details of player attending

Parent / Guardian Details

Main Emergency Contact Details (if different from above)

Secondary Emergency Contact Details

Medical Condiitons

Agreements and Permissions

Medical Permission to be signed by Parent / Guardian if Player is under 18 years of age

If emergency treatment is required and the parents or legal guardian cannot be reached immediately your signature in the space below will allow us to exercise our judgement in calling the emergency services or transporting to A&E.

Agreement to abide by the Safe TT Code of Conduct to be signed by Parent / Guardian if Player is under 18 years of age or by Player if 18 years of age or older

Link to the Safe TT Code of Conduct on Table Tennis England website

I have read the Safe TT Code of Conduct and agree to abide to it

Agreement to information being stored electrically to be signed by Parent / Guardian if Player is under 18 years of age or by Player if 18 years of age or older. Please refer to the Club's Privacy Policy (see website footer) for details of how we store and use your personal information.

I agree to the above information being stored on computer system