Junior Online Registration

Juniors

Highfield Squash requests all parents / guardians to pay membership fees and lights fees via PayPal and not through cash as the use of cash adds greatly to the work of our volunteers. Junior Membership subscriptions can be paid here and lights fees here on the Juniors page.

Junior members are required to register through the club's Childrens Officer which can be done online below. Please note that in line with Safeguarding protocols we will not use the mobile or email of the junior but that of the parent / guardian.

Name of Junior No. 1:*

Male / Female:*

Date of birth of junior:*

Please indicate from the drop down menu if you would like to sign up this child for our Saturday afternoon group junior coaching sessions:*

Name of Junior No. 2:

Male / Female:

Date of birth of junior:

Please indicate from the drop down menu if you would like to sign up this child for our Saturday afternoon group junior coaching sessions:

Name of Junior No. 3:

Male / Female:

Date of birth of junior:

Please indicate from the drop down menu if you would like to sign up this child for our Saturday afternoon group junior coaching sessions:

Mobile no. of parent / guardian:*

Email address of parent / guardian:*

Please provide, on a confidential basis, details of any medical or special needs that your junior has or requires including details of any known allergies, conditions or medications. If none please state NONE.*

Consent to images and photos:*

I understand that photographs and videos may be taken during coaching, competitions or at sport related events and may be used in the promotion of sport and in accordance with current best practice.
I agree

Agreement to participation:*

I hereby consent to the above child participating in activities and visits of the organisation in line with Sport Ireland’s Code of Ethics and Good Practice for Children's Sport.
I agree

Necessary medical / first aid treatment and medicine:*

In the event of the above junior's illness or injury, I give permission for medical treatment to be administered where considered necessary by a nominated first aider, or by suitably qualified medical practitioners. If I cannot be contacted and my child needs emergency hospital treatment, I authorise a qualified medical practitioner to provide emergency treatment or medication.
I agree

Consent and agreement to update:*

I confirm that to the best of my knowledge all the above information is accurate and that I will update where necessary.
I agree

Name of Parent or Guardian:*