MedwayYachtClubCadetWeek2016RegistrationForm
MedwayYachtClubCadetWeek
Sunday31stJuly–Friday5thAugust2016
Cost(excludingboathire)fortheweek,includingfoodandactivitiesis£205perCadet.
Boathire:
IfyouwishtohireaboatforCadetWeek,pleasespeaktoRossassoonaspossibleto
confirmavailabilitybeforecompletingtheBoatHireform.
CadetWeekBoatHireRates2016:
Topper:£30
Laser:£38
RSFeva:£48
Laser2:£48
Laser3000:£48
Pleasecompletetheattachedformnotingthefollowing
ParticipantsAgedunder18–completepages2,3,4and5.
Ifyourparentorguardianisattending/assistingduringtheweek,thentheself
declarationformonpage6shouldbecompletedbythemandreturnedseparatelytothe
clubofficeinanenvelope.
Theformwillbekeptsecurelylockedawayintheoffice.
ParticipantsAgedover18–completeallsections–yourselfdeclarationformonpage6
shouldbereturnedseparatelytotheclubofficeinanenvelope.
Theformwillbekeptsecurelylockedawayintheoffice.
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MedwayYachtClubCadetWeek2016RegistrationForm
Participant’sDetails
FirstName
Surname/FamilyName
HomeAddress
Dateofbirth
Ageon01/01/16_______
MobilePhoneNo
EmailAddress
Parent/guardian/personwithlegalresponsibilityduringCadetWeek
FirstName
Surname/FamilyName
Relationshiptochild
HomeNumber
MobileNumber
EmailAddress
AlternativeEmergencyContact:
FirstName
Surname/FamilyName
RelationshiptoChild
Contactnumberduringsessions
DetailsofBoatyouwillbesailing
Class/TypeofBoat
SailNo
PYNo
HullColour
BoatName
BoatHire:PleasetickboxifyouwishtohireaClubboatfortheregatta
(Youwillneedtocompleteaseparatebookingformforboathire)
Clothing:ChestSize*: _____________(inches/cm) Initialsyouwouldlikeonyoursweatshirt,ifpossible
_________________________
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MedwayYachtClubCadetWeek2016RegistrationForm
Accommodation:Campingispermissibleforallcadetsagedover12yearsasat
01/01/16.
Irequirespaceforatentfor_____numberofpeopleover12yearsasat01/01/16.
Sharingwith(ifapplicable)____________________________________________
IagreetobeboundbytheRacingRulesofSailingandbyallotherrules/codesgoverningthisevent.
Icertifythat(whereappropriate)Iholdavalidmeasurementcertificatefortheclassstatedandthatmyboathas
thePYnumberstatedabove.Iacceptthatthesafetyoftheboatandherentiremanagement,includinginsurance,
isthesoleresponsibilityoftheowner/personinchargeandthathe/shemustensurethattheboatandcreware
adequatetofacesuchconditionsasmayariseduringthecourseoftherace.
ThecompetitoragreestofollowtheprinciplesandpracticesoftheRacingCharter
Date:_____________________
Signed
Cadet:_____________________andparent/carerifunder18____________________
Entryfee£205.00percadet
Registrationfeeincludesraceentry,allmeals(including
Pleasemakechequespayableto:-
FridaynightPrize-GivingDinner&Disco),entertainments
MYCCADETS
plussweatshirtifavailable
PleasereturntheentryformtoRossEldred,GlebeCottage,Hartley,Longfield,KentDA37DT.
Wewouldpreferifyoucouldpaybydirectbanktransfer:
AccountName:MYCCadets,SortCode:20-88-13,A/cno.23286665.
PleasereferenceitwithCW,CadetSurname.EgJaneSmith:CWSMITH
Ifyouwouldprefertopaybycheque,(madepayabletoMYCCadets)pleasereturnitwiththeformtoRossEldred.
AnyqueriespleasetelephoneRosson07899921964.
MedicalInformation
Itisyourresponsibilitytomakeknownanydisability/medicalconditionthatmayaffectyourchild/you(ifover18)
duringtheactivity,andanymedicationthattheymayrequire.Thisinformationwillbesharedwiththose
responsibleforsupervisingtheactivity.Ifmorespaceisneeded,pleaseusethereverseoftheform.
Hasyourchildeversufferedfromanyofthefollowingconditions:
Asthma/bronchitis,heartcondition,fits,faintingorblackouts,severeheadaches,diabetes?YES/NO
IfYESpleaseprovidedetails,includinganyspecificmedicaladvicetobefollowedinanemergencyand
alsoconfirmthattheyareabletosailwiththiscondition(documentationfromadoctortobeprovided):
Isyourchildcurrentlytakinganymedication?YES/NO
IfYESpleasespecify:
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MedwayYachtClubCadetWeek2016RegistrationForm
Whendidyourchildlasthaveatetanusvaccination?Year:
Isyourchildcurrentlysuffering/recoveringfromanyconditionorinjurieswhichmay
affectthemduringtheweek?IfYESpleaseprovidedetails:YES/NO
Isyourchildvegetarian?YES/NO
Doesyourchildhaveanyallergies(includingallergiestofood)?YES/NO
IfYESpleaseprovidedetails:
Doesyourchildhaveadisability,learningdifficultyormedicalconditionwhich
mayaffecttheirlearning(abilitytoparticipateinpracticalortheoreticalsessions)?YES/NO
IfYESpleaseprovidedetails:
DoctorsName: ___________________________ DentistsName: ___________________________
Address:_________________________________ Address:_________________________________
________________________________________ _________________________________________
________________________________________ _________________________________________
Telephonenumber:______________________ Telephonenumber: _______________________
Medicalconsent
IgivepermissiontotheorganisersofactivitiesduringtheperiodsofnormalCadetactivityincludingCadetWeekto
administeranyrelevanttreatmentormedicationtotheabove-namedparticipantwhenorifnecessary.
InanemergencysituationIauthorisetheorganiserstotakemychildtohospitalandgivemyfullpermissionforany
treatmentrequired,includinganaesthetic,tobecarriedoutinaccordancewiththehospital’sdiagnosis.I
understandthatIshallbenotified,assoonaspossible,ofthehospitalvisitandanytreatmentgivenbythehospital.
These medicines will be available, if required. May they be used for your child?
Paracetamol tablets/soluble/Calpol
Anti-histamine tablets
Throat lozenges
Antiseptic wash/cream
YES / NO
YES / NO
YES / NO
YES / NO
Ibruprofen
Anti-histamine/bite cream
Cough Medicine
Plasters
YES / NO
YES / NO
YES / NO
YES / NO
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MedwayYachtClubCadetWeek2016RegistrationForm
Declarationofparentorpersonwithlegalresponsibility
Itheparent/carerof……………………………………….……………………..herebyacknowledgethatIhavereadtheattached
conditionsofparticipationandthatIfullyunderstandthem.Ihaveexplainedthemtomychild,whounderstands
andagreestoabidebythem.
IwillabidebyClubRule4.7.4anditssubsectionsandHouseRule1.3anditssubsections,relatingtoyoungsterson
site.
Consentforuseofimages
Igranttotheorganiserswithoutpaymenttherightinperpetuitytomake,useandshowanymotionpictures,still
picturesandlive,tapedorfilmedtelevisionoforrelatingtotheevent.
IhavereadandunderstoodtheConditionsofUseattached.
Iagreetonotifytheorganisationofanyrelevantchangesinmychild’scircumstances.
Iconfirmthatmychildisnotunderacourtorder.
Iconfirmthat:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Theaboveismyson/daughterandIagreetohim/herenteringMYCCadetWeek.
TheEntryFormdetailsarecorrect,andthatthisConsentFormformspartoftheEntryForm.
Duringtheevent,theboatwillhavevalidandadequatethirdpartyinsurance.
Myson/daughteriscompetenttotakepart(afloatandashore)andcanswim50m
Igivepermissionformyson/daughtertosailinotherboatsatthediscretionoftheraceofficer/cadetweek
administrator(forexamplesailingwithanothercadetoronasafetyboat).
Myson/daughterisabletocampatMYC(ifaged12on1stJanuary2016)
IhavereadandaccepttheNoticeofRace,SailingInstructions,EntryFormandCodeofConduct.
Igivepermissionformyson/daughtertotravelinavehicleorganisedbytheCadetAdministratortooffsite
events.
IdeclarethatasaconditionofentrythatIacceptthattheorganisingauthoritywillnotacceptanyliability
formaterialdamageorpersonalinjuryordeathsustainedinconjunctionwithorpriorto,during,orafter
theregatta,howevercaused.
Iamfullyawareoftherisksinvolvedandthedegreeoffitnessrequiredtotakepart.
Signed:(Cadet) ___________________________________________________ Name:(Pleaseprint)______________________________Date: ____________ Signed:(Parent/Carer)______________________________________________ Name:(Pleaseprint)______________________________Date: ____________ http://www.piratescave.co.uk/
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MedwayYachtClubCadetWeek2016RegistrationForm
Parent/Participant–Self-DisclosureForm Self-disclosureformforapplicantsforpostsinvolving
contactwithchildrenand/orvulnerableadults
MedwayYachtClubiscommittedtosafeguardingchildrenfromphysical,sexualandemotionalharm.Aspartofour
ChildProtectionpolicy,werequireapplicantsforpostsinvolvingcontactwithchildrentocompletethisselfdisclosureform.Havingacriminalrecordwillnotnecessarilybaryoufromworkingwithus.Thiswilldependon
thenatureofthepositionandthecircumstancesandbackgroundofyouroffences.
Name ____________________________________________ 1. Haveyoueverbeenconvictedofanycriminaloffences?
Ifyes,pleasesupplydetailsofanycriminalconvictions.
YES
NO
Note:YouareadvisedthatundertheprovisionsoftheRehabilitationofOffendersAct1974(Exceptions)
Order1975asamendedbytheRehabilitationofOffendersAct1974(Exceptions)(Amendment)Order1986
youshoulddeclareallconvictionsincluding‘spent’convictions,cautions,warningsandreprimands.
2.
AreyouapersonknowntoanyChildrenandFamiliesSocialCareDepartmentasbeinganactualor
potentialrisktochildren?
Ifyes,pleasesupplydetails.
YES
NO
3.
Haveyoueverhadanydisciplinarysanctionrelatingtochildabuse?
Ifyes,pleasesupplydetails.
YES
NO
Declaration:Ideclarethattothebestofmyknowledgetheinformationgivenaboveiscorrectandunderstandthat
anymisleadingstatementsordeliberateomissionmaybesufficientgroundsforcancellingmyappointment.I
understandthatImaybeaskedtoapplyforaCriminalRecordsDisclosureandconsenttodosoifrequired.I
understandthattheinformationcontainedinthisformandintheDisclosuremaybedisclosed,wherestrictly
necessary,toregulatorybodiesand/orthirdpartieswhohaveaninterestinchildprotectionissues.
Signed: ________________________________Date: _________________ Note:iftheapplicantisagedunder18,thisformshouldbecounter-signedbyaparentorcarer
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MedwayYachtClubCadetWeek2016RegistrationForm
ConditionsofUseofphotographyorvideo
InaccordancewithourchildprotectionpolicyMedwayYachtClubwillnotarrangeforphotographs,videoorotherimagesof
youngpeopletobetakenorpublishedwithouttheconsentoftheparents/guardiansandchildren.Wewillabidebythe
ConditionsofUsebelow.Ifyouhaveanyconcernsaboutthewayimagesarebeingused,youshouldinformtheOfficerOfThe
Dayimmediately.
1.
2.
3.
4.
5.
6.
7.
Wewillnormallyonlyidentifyachildbyreferencetothechild’sfirstname.
Wewillnotusepersonaldetailsorfullnames(iefirstnameandsurname)ofanychildtoaccompanyaphotographicimage
onvideo,onourwebsite,inourorganisationbrochureoranyotherelectronicorprintedpublicationswithoutgood
reason.‘Goodreason’includesusingthefullnameofachildinanewslettertoorganisationmembersifthechildhaswon
atrophyoraward.
Wewillnotincludepersonalemailorpostaladdresses,telephoneormobilenumbersonvideo,onourwebsite,inour
organisationbrochureorinotherelectronicorprintedpublications.
Wemayusegroupphotographsorvideowithverygenerallabels,suchas‘CadetWeek’.
Wewillonlyuseimagesofchildrenwhoaresuitablydressed,toreducetheriskofsuchimagesbeingusedinappropriately.
Photographsorvideomaybeusedforcoachingpurposesorbyofficialsduringcompetitiontoillustrateincidentsonthe
water.
Commercialsaleofanyformofmediawillbelimitedtotheorganisersortheirofficialphotographers.
Club/ClassAssociationCodeofConduct
ItisthepolicyofMedwayYachtClubthatallparticipants,coaches,instructors,officials,parentsandvolunteersshowrespect
andunderstandingforeachother,treateveryoneequallywithinthecontextofthesportandconductthemselvesinawaythat
reflectstheprinciplesoftheclub/class.Theaimisforallparticipantstoenjoytheirsportandtoimproveperformance.
Abusivelanguage,swearing,intimidation,aggressivebehaviourorlackofrespectforothersandtheirpropertywillnotbe
toleratedandmayleadtodisciplinaryactionand/orthatpersonorpersonsbeingrequestedtoleave.
Participants-youngsailors,windsurfersandpowerboatusers
1.
2.
3.
4.
5.
6.
Listentoandacceptwhatyouareaskedtodotoimproveyourperformanceandkeepyousafe
Respectotherparticipants,coaches,instructors,officialsandvolunteers
Abidebytherulesandplayfairly
Doyourbestatalltimes
Neverbullyotherseitherinperson,byphone,bytextoronline
Takecareofallpropertybelongingtootherparticipants,theclub/classoritsmembers
Parents
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Supportyourchild'sinvolvementandhelpthemenjoytheirsport
Helpyourchildtorecognisegoodperformance,notjustresults
Neverforceyourchildtotakepartinsport
Neverpunishorbelittleachildforlosingormakingmistakes
Encourageandguideyourchildtoacceptresponsibilityfortheirownconductandperformance
Respectandsupportthecoach
Acceptofficials'judgementsandrecognisegoodperformancebyallparticipants
Useestablishedprocedureswherethereisagenuineconcernordispute
Informthecluboreventorganisersofrelevantmedicalinformation
Ensurethatyourchildwearssuitableclothingandhasappropriatefoodanddrink
Providecontactdetailsandbeavailablewhenrequired
Takeresponsibilityforyourchild'ssafetyandconductinandaroundtheclubhouse/eventvenue
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