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. http://www.piratescave.co.uk/ Page1of1 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 _________________________ http://www.piratescave.co.uk/ Page2of2 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: http://www.piratescave.co.uk/ Page3of3 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 http://www.piratescave.co.uk/ Page4of4 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/ Page5of5 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 http://www.piratescave.co.uk/ Page6of6 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 http://www.piratescave.co.uk/ Page7of7