21/22 Junior Gunners Consent Form

PARTICIPANT'S DETAILS

JG First Name:

JG Surname:

JG Membership Number:

EMERGENCY CONTACT DETAILS

Name:

Relationship to the child:

Address:

Home telephone number:

Mobile telephone number:

Car registration:

MEDICAL

I, the undersigned, do hereby acknowledge and fully understand the nature of the Activity and that participation in the Activity may give rise to harm or injury to the child named in Section B. I confirm that the child is physically fit enough to take part in the Activity and that any relevant medical conditions have been declared to 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 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 sustains any harm or injury due to 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 (and the child) 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.

PHOTOGRAPHS, IMAGES AND VIDEOS

I, the undersigned, by ticking the box below, hereby 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 in Section B (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.

Grant permission

Deny permission

SIGNATURE AND EXPIRY

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. 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.

PRINT NAME of Parent/Legal/Guardian/Carer: