Twickenham CC

Twickenham Cycling Club Parental Consent Form

Youth/Junior Member Name:
 

Date of Birth:
 

Parent/Guardian Name:
 

Address:

 

 

Emergency Contact Details (Please include a mobile phone number):

Relationship to Youth/Junior:
 

1. I agree to ………………………………………… taking part in the activities of Twickenham Cycling Club and acknowledge that I have been advised as to the nature of the club’s activities.

……………………………… will take part in these activities entirely at his/her own risk and without any liability whatsoever on the part of Twickenham Cycling Club, its officials or members, in respect of injury, loss or damage suffered by him/her however caused, provided that this does not exclude the liability of any such party for death or personal injury arising from that party’s negligence.I acknowledge that in the event of an accident every effort will be made to contact me as soon as possible.
2.
I confirm that I have read and brought to the attention of …………………………………… the content of the Twickenham Cycling Club Training Rides Safety Guidelines and that he/she understands the meaning and intent of these guidelines.
3.
I understand that it is my responsibility to ensure that the cycle used by ………………………………… is in a safe condition to ride and a correctly fitted cycling helmet must be worn at all times during the cycling activities, unless otherwise advised.
4.
I understand and do not object that some cycling activities may be photographed or videoed for training purposes and, in some cases, for display on the Club’s website and notice boards.
5.
For all children under 12 years of age coaching sessions take place at traffic-free facilities. Children between the ages of 12 and 16 may be invited to take part in activities on the public highway, but this will depend on the view of the coach in respect of; the nature of the activity, the ability and skill of the child, the fitness level of the child, and the level of maturity of the child (being able to take responsibility for their own actions). Young people of 16 and over are permitted to attend club activities that take place on the public highway.

Notes

a. It is part of the British Cycling Code of Conduct to ensure that reasonable steps are taken to establish a safe environment where young people can enjoy developing their cycling skills.
b. Parents/carers are welcome to stay and watch the session but this is not compulsory.
c. Young people are expected to remain in the session from beginning to end unless they have to leave early. If the young person has to leave early or is being collected by someone other than the parent/carer, the parent/carer must advise the coach of the details of the arrangement, including who will be collecting the rider.
d. It is the young person’s responsibility to participate in cycling activities in a sporting manner. Any young riders who persistently misbehave or put others in danger will be asked to leave the session.

Signature of Parent/Carer: ....................................... Date:...........................


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