Parental Permission Form
This form is for parents to provide permission for a player under the age of 18 to participate in an ECA Open Age league. 
Confidentiality:
Details on this form will be held securely and will only be shared with coaches or others who need this information in order to meet the specific needs of your child.
Sign in to Google to save your progress. Learn more
Child's Name *
Date of Birth *
MM
/
DD
/
YYYY
Parent's Name *
Parent's Email *
Parent's Phone Number *
Name of alternative adult who can be contacted in an emergency: *
Telephone number of alternative adult: *
Relationship to child of alternative adult: *
Any specific medical conditions requiring medical treatment? *
Details of medication required  *
Any specific medical condition or disability? *
Dietary restrictions *
I give my consent that if an emergency medical situation arises, the organization/club may act as loco parentis. If the need arises for administration of first aid and/or other medical treatment which in the opinion of a qualified medical practitioner may be necessary. I also understand that in such circumstances that all reasonable steps will be made to contact me. *
Required
I confirm that I have read, or been made aware of, the junior playing guidelines *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Estonian Cricket Association. Report Abuse
Google Forms