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I am committed to the safety and welfare of juniors during Golf coaching and the activities I organise. It is therefore important that I am aware of any illness, medical condition and other relevant health details of the Junior so that their best interests are addressed.

Please complete this form to provide me with all the relevant details and your consent as a parent or guardian. There is also a section to complete regarding the use of photography.

All information gathered is for the sole use of Zoe Allen Golf and will not be passed on to any other body and will be regarded as strictly private & confidential. Please ensure that I am notified if any of the details change at any time.

Junior Golfer's Details
Junior Golfer's Name
Golfer's Gender & Date of Birth


Golfer's Address Details
Golfer's Contact Details
Parent or Guardian's Details
Emergency Contact Details

Please provide the names and contact numbers of two people known to the Junior that I can contact in the case of an Emergency.

Contact #1 Details
Contact #2 Details
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About Me

Zoe Allen

Zoe Allen PGA Professional

Zoe Allen

PGA Professional

Contact Zoe

Phone: +44 (0) 28 3832 1068

Lurgan Golf Club

Demesne
Lurgan
BT67 9BN

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