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Participant's Details

Forename

Surname

DateOfBirth

Address1

Address2

Town

County

Post Code

Telephone

Mobile

Email

School/College Name

School/College Address

Demographic

Ethnicity

Gender

Parent/Legal Guardian/Carer Details

Name

Relationship to Child

Address

Home Phone Number

Mobile Phone Number

Email Address

Photographs, Images and Videos

I, the undersigned, by ticking the box below, grant or deny permission to The Arsenal Football Club PLC and all of its associated companies (the "Club"), to use photographs, images and/or videos of the child named above (the "Imagery"), in all media now existing or invented in the future, on a worldwide basis and in perpetuity. Uses include the display, distribution, publication or other use of the Imagery taken during the Activity. I agree that the Imagery may be (i) used by the Club and its associated companies for any purpose (including but not limited to marketing and/or promotional use) or (ii) provided to a third party for its purposes (including but not limited to marketing and/or promotional use). I understand that my child’s full name, if aged under 16, will not be listed in conjunction with the Imagery unless explicit consent is sought.

Transport

If transport by the Club is NOT required: The Arsenal Football Club PLC (the "Club") requires your consent to allow the child named above to travel to/from the venue of the Activity alone.

If transport by the Club is required: The Arsenal Football Club PLC (the “Club”) requires your consent to allow the Club to transport the child named above during the Activity. Transport includes transportation provided by the Club to and from the Activity (where necessary and appropriate in line with the Club’s transport procedures). I, the undersigned, hereby grant or deny permission to the Club, to transport the child named above.

Supervision

The Arsenal Football Club PLC (the "Club") requires your consent to allow the Club to supervise the child named above during the Activity. Supervision includes being in sight or earshot of a Club employee or worker for the Activity. I, the undersigned, hereby grant or deny permission to the Club, to supervise the child named above.

Emergency Contact Details

In an emergency, if different from the Parent/Legal Guardian/Carer named above, the following person should be contacted:

Name

Relationship to Participants

Address

Home Phone Number

Mobile Phone Number

Email Address

Individual Needs

I, the undersigned, provide the below information in relation to the child named above to assist The Arsenal Football Club PLC with the performance of the Activity, to ensure that the child's individual needs are considered

Dietary & Allergies

Disability & Access Needs

Medication

Religious & Cultural Needs

Medical

I, the undersigned, acknowledge that I fully understand the nature of the Activity and that participation in the Activity may give rise to my harm or injury to the child named above. I confirm that I am physically fit enough to take part in the Activity and that I have declared any relevant medical conditions to The Arsenal Football Club PLC (the "Club").

I agree that the child's participation in the Activity is at their own risk and hereby release the Club, its employees, contractors, agents and all of its associated companies (together, "Arsenal") from all liability, responsibility, costs and damages which arise as a result of of the child's participation in the Activity. For the avoidance of doubt, the foregoing does not affect the child's legal rights in the event of personal injury or death arising as a result of the negligence of Arsenal.

If the child sustain any harm or injury due to my participation in the Activity, Arsenal may, in its sole discretion, offer to provide such medical treatment as it determines necessary or appropriate (the Medical Treatment). I hereby consent to emergency Medical Treatment determined necessary by Arsenal and acknowledge that by allowing any non-emergency Medical Treatment to be performed on the child I will be deemed to have consented to such Medical Treatment. If the child receives any Medical Treatment, emergency or non-emergency, I and the child assume all risk of harm or injury which may result (subject to the immediately preceding paragraph).

Safeguarding

The Club is committed to safeguarding and protecting children and young people, and adults at risk. Please see the Club’s safeguarding policies at https://www.arsenal.com/sites/default/files/documents/Safeguarding_Children_and_Young_1.pdf and https://www.arsenal.com/sites/default/files/documents/Safeguarding_Adults_at_Risk_0.pdf.

Signature

I, the undersigned, consent to The Arsenal Football Club PLC storing and processing the above referenced personal data in accordance with all relevant data protection laws. You may withdraw this permission at any time. For further details, see the privacy policy at www.arsenal.com/privacy-policy or write to the Data Protection Officer, The Arsenal Football Club PLC, 75 Drayton Park, London N5 1BU.

Name

Date

Peckwater U18s

Participant's Details

Demographic

Parent/Legal Guardian/Carer Details

Photographs, Images and Videos

Transport

Supervision

Emergency Contact Details

Individual Needs

Medical

Safeguarding

Signature