Before completing the membership form to join your child as a junior member, please can all parents/carers and juniors read the following.  You will be sent a copy of the Code of Conduct for both the parent/carer and junior member to sign:

JUNIOR MEMBERS AND VISITORS PLAYING THE COURSE 

• Junior refers to a person under the age of 18 years.
• A junior between the ages of 16 and 18 years old must play with a responsible person who is 16 years or older.
• A junior between the ages of 12 and 16 years old must play with a parent or Guardian or a responsible person who is 16 years or older.
• A junior who is 11 years old or younger must play with a parent, guardian or an adult who is 18 years or older.
• When playing golf at Chesham and Ley Hill Golf Club a junior 12-18 years old must carry a mobile phone which is switched on. This is a necessary precaution to deliver enhanced protection.

You must understand the dangers and take great care when crossing the roads on the course in particular:

• From the Clubhouse to the 1^st Tee
• 1^st/ 10^th Green to 2^nd /11^th Tee
• 4^th/ 13^th Green to 5^th / 14^th Tee
• 5^th/ 14^th Green to 6^th / 15^th Tee
• 7^th / 16^th Green to 8^th / 17^th Tee
• 8^th/ 17^th Green to 9^th / 18^th Tee
• From the 9^th / 18^th Green back to the Clubhouse.

CODE OF CONDUCT FOR YOUNG GOLFERS

As a young golfer taking part in a Chesham and Ley Hill Golf Club activity, you should:

     Ø  Help create and maintain an environment free of fear and harassment

Ø  Demonstrate fair play and apply golf’s standards both on and off the course

Ø  Understand that you have the right to be treated as an individual

Ø  Respect the advice that you receive

Ø  Treat others as you would wish to be treated yourself

Ø  Respect other people and their differences

Ø  Look out for yourself and for the welfare of others

Ø  Speak out (to your parents or a club representative) if you consider that you or others have been poorly treated

Ø  Be organised and on time

Ø  Tell someone in authority if you are leaving the venue

Ø  Accept that these guidelines are in place for the well-being of all concerned

Ø  Treat organisers and coaches with respect

Ø  Observe instructions or restrictions requested by the adults looking after you.

 You should not take part in any irresponsible, abusive inappropriate or illegal behaviour which includes:

Ø  Smoking

Ø  Using foul language

Ø  Publicly using critical or disrespectful descriptions of others either in person or through text, email or social network sites

Ø  Consuming alcohol, illegal performance-enhancing drugs or stimulants.

SAFEGUARDING

You can find a copy of our Safeguarding policy on our website.

PHOTOGRAPHS

From time to time we may want to take photographs of your child.  

WHATSAPP

We have a WhatsApp group for our Junior Section to advertise events, sessions etc.  Please be aware that the parent/carer must be on the WhatsApp group with the child. 

JUNIOR MEMBERHIP FORM

First Name

Last Name

Date of Birth

House Name, Number and Street

Enter Postcode

Home Tel No

Mobile No

Email Address

Membership Category

Junior (11 years and Under) Junior (12 – 18 years)

WHS Handicap Index (if any)

Name of current and previous Golf Clubs (if applicable)

WHS Handicap Index (if applicable)

CDH Number (if known)

Name of member introducing you to the Club (if any)

Emergency Contacts

Emergency Contact 1 (Name)

Relationship to Child

Home Tel. No

Mobile Number

Work Number

Emergency Contact 2 (Name)

Relationship to Child

Home Tel. No.

Mobile Number

Work Tel. No.

Medical Information

Doctor’s name of Child

Doctor’s Surgery Address

Doctor’s Surgery Tel. No.

Does your child experience any conditions requiring medical treatment and/or medication?

Yes No

If Yes, please give details, including medication, dozes and frequency

Does your child have any allergies?

Yes No

If Yes, please give details

Does your child have any specific dietary requirements?

Yes No

If Yes, please give details

What additional needs, if any does your child have e.g. needs help to administer planned medication, assistance with lifting or access, regular snacks?

Disability

Do you consider your child to have a disability?

Yes No

If Yes, what is the nature of the disability?

Does your child have any communication needs e.g. non-English speaker / hearing impairment / sign language user / dyslexia?

Yes No

If Yes, please give details of any communication needs

Consent from Parent / Legal Carer

 I confirm to the best of my knowledge that my child does not suffer from any medical condition other than those detailed above

Yes No

 I agree to notify the Club of any changes to this information

Yes No

 I agree to myself and my child being added to the Junior WhatsApp group

Yes No

 I have made my child aware of the roads that they will need to cross when playing the course

Yes No

 The attached signature will denote that my child has my permission to be on the golf club’s premises

Yes No

 I acknowledge that the club is not responsible for providing adult supervision for my child, except for formal junior golfing coaching, matches or competition

Yes No

 I agree to my child being transported by club representatives to and from venues when he/she is representing the club

Yes No

 I will ensure my child reads, signs and upholds the Chesham and Ley Hill Code of Conduct for Young Golfers

Yes No

 I agree to photos of my child being taken and used for publicity purposes

Yes No

By signing this document, I confirm that I have legal responsibiility for (name of child)

I am entitled to give this consent, and I am aware of how the information I have provided may be used

Yes No

Signed (Parent or Carer)

Date

Signature (Junior)

Date

Signature (Parent/Carer)

Date

Submit