Player Forms - Grahamvale Sports Club

Forms on this page :
* Image Use Consent Form
* Athlete Medical Profile Form

IMAGE USE CONSENT FORM

Child Safe Standards

The Grahamvale Sports Club Inc. wishes to record photographic and/or video images of your child for the purposes of:

Club promotional material (electronic or print)

The Club nor any of its servants, agents or volunteers will:

Not use the photographs/videos for any other purpose than that stated above.
Not use them in any manner that is in breach of the law or the Safe Sport Framework.
Not record any personal or identifying information about the persons in the photographs/videos together with such photographs or videos.
Retain possession of the originals in a secure location and not publish or distribute any part or all of them without your consent.
Ensure that any such personal or identifying information collected will always remain confidential.

If you have any concerns about the taking or use of the photographs/videos, please contact:

Carla Dixon or Bree Findlay

grahamvale.sport@gmail.com

Name of the individual to be photographed or videoed *

Date of Birth *

Mobile number *

Email *

Please tick 1 box

• I give Grahamvale Sports Club permission to use images/videos taken of my solely for the purposes stated above and subject to the conditions set out in this form.
• I do not grant Grahamvale Sports Club permission to use images/videos taken of my child.

Step 1 of 5

ATHLETE MEDICAL PROFILE – PERSONAL RECORD

All information on this sheet is confidential. Access to this sheet is limited to President, Secretary + Coach.

Participant - Personal Details

Full Name *

Date of Birth *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Gender *

Male
Female
Unidentified

Blood Group *

Do you object to transfusions *

Emergency Contact Details

Contact 1

Name (copy) *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mobile number *

Relationship to Parent *

Contact 2

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mobile number *

Relationship to Parent *

About Us

Forms on this page :* Image Use Consent Form* Athlete Medical Profile Form

IMAGE USE CONSENT FORM

Child Safe Standards

ATHLETE MEDICAL PROFILE – PERSONAL RECORD

Participant - Personal Details

Forms on this page :
* Image Use Consent Form
* Athlete Medical Profile Form