Do you consent to your child being photographed or filmed during games and training?

Do you consent to your child's/your photo and christian name being used in association with Cheshire Wire on the club's social media platforms?

Please provide details of any medication that your child takes regularly and is appropriate for the club to be aware of?

Please provide detail of any allergies your son has.

I [as primary guardian] confirm to the best of my knowledge that my child does not suffer from any medical condition and/or allergy other than those stated above.

I [as primary guardian] agree to my child receiving medication as instructed, and any emergency dental, medical or surgical treatment as considered necessary by the medical authorities present.

Should you not be able to contact me, or the alternative emergency contact, I [as primary guardian] give permission for medical treatment to be authorised where a delay could be detrimental to my child’s wellbeing

Does you child suffer from any recurring injury or illness that is appropriate for the club to be made aware of? If so, please provide details below.

To assist with our provision of care, can you please provide your child's GP contact details. Please provide Name, Address and Telephone number.

I [as primary guardian] agree to my child taking part in the activities of the Club

I [as primary guardian] understand that the Club/Team officials have a common-law duty to act in the capacity of a reasonably prudent parent

I [as primary guardian] give permission for my child to travel in a private vehicle driven by another parent, Team Manager or Coach, who has held a full UK driving licence for at least 1 year.

I [as primary guardian] give permission for my child to travel home independently from training sessions/games.

I confirm that I have read the COVID-19 Risk Information noted in Appendix 4 of the Basketball England return to play guidance document (this can also be found in the Documents section on the club TeamApp)

Please advise if any of the higher risk factors (described in Appendix 4 of the return to play guidance document) applies to your son / daughter or anyone in your household

If you answered “Yes” to the above, please briefly note the area of higher risk so that the club / coaches can be aware and take extra precautions where possible.

PLEASE NOTE - If your son / daughter or anyone in your household fits into any of the higher risk categories, consultation with your GP is strongly advised before consenting to participate in club activities.

Do you provide informed consent for your child to take part in club activities?

PLEASE NOTE - informed consent can be withdrawn at any time. Please email COVID@cheshirewire.co.uk if you have any concerns, if any of your circumstances change or if you wish to withdraw consent at any time