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COVID-19 Risk Information Consent Form
IF YOU HAVE PREVIOUSLY COMPLETED THIS FORM, PLEASE DO NOT COMPLETE AGAIN.
PLEASE ONLY REPEAT COMPLETION IF YOU WISH TO UPDATE CONSENT OR RISK FACTORS.
Please complete the consent form below for your son/daughter to take part in Storm Basketball Club session. All sessions will follow the most current Basketball England Return to Play guidelines as restrictions progress.
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Parent Name
*
Your answer
Parent Email Address
*
Your answer
Participant Name
*
Your answer
Please read the COVID-19 Risk Information noted below; taken from Appendix 4 of the Basketball England Return to Play Guidance Document.
Please advise if any of the higher risk factors described above applies to the participant or anyone in their household?
*
Yes
No
If higher risk factors apply, please briefly note the area of higher risk so the club can be aware and take extra precautions where possible?
Your answer
If the participant or anyone in their household fits into any of the higher risk categories, consultation with your GP is strongly advised.
Do you provide informed consent for your son/daughter to take part in sessions?
*
If you select "No", your son/daughter will not be permitted to take part in coaching sessions unless informed consent is provided at a later date.
Yes
No
Please note, informed consent can be withdrawn at any time.
Please email
office@stormbasketballclub.com
if you have any concerns, if any of your circumstances change, or if you wish to withdraw your informed consent regarding higher risk factors.
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