Cycling Ulster  - Parent Code of Conduct and rider consent/medical form 
This form is in 2 sections. Section 1 is Parent code of conduct, Section 2 is rider consent and medical declaration form. 

Section 1 CU believe that parents are vital to the development and progression of their children in the sport. We fully appreciate the work of all our parents. In line with current good practice we require all parents to sign-up to our parental code of conduct. Please read and complete the following:

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As a parent/guardian I will

·         Be a role model for all children, whether competing or watching, and will maintain the highest standards of conduct when interacting with children, other parents, officials and organisers.

·         Behave responsibly and not seek to unfairly affect the race or training event.

·         Never intentionally expose any young participant to embarrassment or disparagement by the use of inappropriate, flippant or sarcastic remarks

·         Encourage my own children appropriately and not in an excessive manner as I realise this may embarrass my child

·         Always recognise the value and importance of the referees, coaches, organisers and other cyclists and not publicly question their judgement or honesty I understand that these people are usually volunteers and without them, there would be no race or event.

·         Encourage children to play by the rules and teach them that honest endeavour is as important as winning.

·         Encourage and applaud good sportsmanship.

·         Set a good example by praising good performances.

·         Encourage mutual respect for team mates and fellow competitors.

·         Support all efforts to remove abusive/bullying behaviour in all its forms.

I understand that when my child is part of an Ulster/National team that he/she is under the care of a manager and I will not interfere in team tactics, manager’s instructions or encourage my child to disobey the instructions given. I understand that when my child is part of an Ulster/National team that my he/she is under the care of a team of volunteers and I will only visit or approach the team when invited to do so by the team manager, and minimise communication with them during the race/training session.

I understand my child may be photographed for coaching, publicity or recruitment purposes.

I understand that it is my responsibility to ensure that my child has adequate personal and bike insurance and I will not hold the Cycling Ulster or volunteer staff responsible for damage to my child’s bike/equipment.

I agree to abide by the above principles. I understand that if I break or ignore these recommendations it may mean that sanctions will be imposed regarding any future trips. Section 2 declaration is on question 13.


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Email *
Riders Full name
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Riders Date of Birth
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MM
/
DD
/
YYYY
Riders address *
Riders Cycling Ireland Membership number
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Parent/Guardian Name
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Relationship to rider
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Parents contact telephone number
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Do you have a coach? If so add name below. 
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If you have a coach add their email and telephone number (if answered no to above enter n/a)
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Medical History Information: (please give details of any known allergies or medical conditions, including any medication that your child takes)
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In the case of an emergency, coach/volunteer will do everything possible to contact the Parent/Guardian. However, in the event that contact cannot be made or an emergency, I authorise the certified First Aid person and/ or leader in charge to give consent for any medical treatment on my / our behalf.
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Does your child need to be in possession of, or need to be able to administer medication while participating in sport or other activities? If yes please detail, including if they administer this medication themselves, or enter NO if they do not have a need to administer medication.
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Any other special needs, dietary requirements, instructions that you feel we should be aware of?
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Please enter the riders doctor, contact number and the practice address
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Please confirm agreement: 
I know of no reason, medical or otherwise, why the above-named child should not participate in the activities involved. I have willingly supplied the contact and medical details above and consent that in the event of any illness/accident, any necessary treatment can be administered to my child.

I will inform the coaches of any important changes to my child’s health, medication or needs and also of any changes to our address or phone numbers provided.

I agree to abide by the Cycling Ireland Code of Conduct for a) Young Cyclists b) Parents/Guardians as governed by the Cycling Ireland Code of Practice and Safeguarding Procedures for Young and Vulnerable Cyclists.
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Confirm agreement with the above parent/guardian code of conduct. Note, a failure to agree may impact the riders participation in this event.
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