Application & Parental Consent Form

All fields marked with * are required and must be filled.

To participate in the Youth Coaching, we require the details of the rider and the parent or guardian. This is to make sure we have the correct information for holding the course, our insurance, and any communication with the parent/guardian or rider.

Please also read the terms and conditions and rider code of conduct before you proceed further.

Once the form is completed we will send you an email to confirm your child's place. If you don't receive a confirmation email within 24 hours, please contact us.

Child Information

First Name *

Last Name *

Date of Birth *

Parent / Guardian Information

First Name *

Last Name *

Street Address *

Street Address Line 2

City *

County *

Postcode *

Parent / Guardian Email *

Emergency Contact 1

First Name *

Last Name *

Phone Number *

Emergency Contact 2

First Name *

Last Name *

Phone Number *

Medical and Specific Needs

It is your responsibility as the parent/guardian/carer to provide details of any medical or health conditions, neurodiversity, allergies, dietary, or other specific needs that might affect the child's ability to participate in cycling. This information helps our coaches provide support and modifications for equality. Please provide as much detail as possible.

All information is received in confidence and is only shared amongst the coaches and Welfare Officer.

Please note that coaches are unable to provide guidance or make decisions relating to medical or health conditions. If you have any concerns about participating in any form of physical activity, please consult with your GP before signing the consent form.

Please also list any medications they take on a regular basis. (This information may be required by the emergency services in the event of an incident)

Details of any medical conditions *

Regular medications

Consent for Video/Photography

I agree that my child can be videoed/photographed (these may be used for promotional purposes). *

YesNo

Equipment Confirmation

Please confirm that the child has the following to take part: *

HelmetGloves (optional)Off-road bike (knobbly tyres)

Parental/Guardian Consent

I declare that I have read and understood the information on this form as well as the terms and conditions of participation and the rider code of conduct. The club/coaching team has satisfactorily answered any questions I have asked. I agree that the child listed above will participate in coached sessions entirely at their own risk. I confirm that the information I have provided is correct and complete to the best of my knowledge.

I confirm that I have read and understood the terms and conditions of participation *I confirm that I have read and understood the rider code of conduct *I confirm that the information provided is correct and complete to the best of my knowledge *

Human Verification *

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Data Protection & Privacy Notice

Data Controller: Claydon Cycling Club is the data controller for the personal information you provide in this form.

Purpose: We collect this information to ensure the safety and wellbeing of your child during youth coaching sessions, to maintain our insurance requirements, and to communicate with you about the coaching program.

Legal Basis: We process this data based on your consent and our legitimate interests in providing safe coaching services.

Data Sharing: Your information will only be shared with our coaches and Welfare Officer as necessary for the coaching program. Medical information will be kept confidential and only shared with emergency services if required.

Data Retention: We will retain this information for the duration of your child's participation in the program and for a reasonable period thereafter for insurance and safety purposes.

Your Rights: You have the right to access, correct, or request deletion of your personal data. You can withdraw consent at any time by contacting us at youth [at] claydoncyclingclub [dot] com.

Contact: For any data protection queries, please contact our Data Protection Officer at youth [at] claydoncyclingclub [dot] com.