Kids' and Teens' Programme - BJJ School Belfast

Dear Parent/Carer/Guardian,

We are very pleased to welcome you to BJJ School Belfast. To ensure we have the correct contact details for you, please fill out this form online.

Any data captured on this form will be held in confidence. Our coaches need to know these details in order to meet the specific needs of your child or young person.

In submitting this statement you agree that:

I will inform the coaches/designated safeguarding children officer of any important changes to my child’s health, medication or needs and also of any changes to our address or phone numbers given. In the event of illness, having parental responsibility for the above named child, 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 should require emergency hospital treatment, I authorise a qualified medical practitioner to provide emergency treatment or medication.

I have been made aware that BJJ School Belfast have developed a Safeguarding policy and they are commitment to ensuring the safety of my child by having:

· A Coach’s Code of Conduct

· Clear Recruitment Policy which includes vetting all coaches and volunteers

· A Transport Policy

· A Photography Policy

· An Anti-bulling Policy

· Disciplinary Procedures

· A designated safeguarding children officer

· Guidelines on Confidentiality

In signing, I confirm that all details are correct to the best of my knowledge and I am able to give parental consent* for my child to participate in and travel to all activities. By returning this completed form, I agree to my son/daughter/child in my care taking part in the activities of the club.

  • I understand that I will be kept informed of these activities – for example timing and transport details.
  • I understand in the event of injury or illness all reasonable steps will be taken to contact me, and to deal with that injury/illness appropriately.
  • I confirm that I have read and explained the code of conduct for juveniles to my child
  • I confirm that I have read and understood the code of conduct for parents/guardians

To add an additional child to our kids/teens programme then follow these links (opens in a new window):

BJJ School Belfast is committed to ensuring that any information gathered in relation to our youth teams meets the specific responsibilities as set out in the Data Protection Act 1998.

The BJJ School Belfast coach/development officer will store the above information on their youth team’s data base for a maximum of 12 months before re-registering the athlete/player if still associated with the club.


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