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Buckinghamshire County Ladies Golf Association
























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DECLARATION

I confirm that I am the legal parent/carer of the child named above and am entitled to give these consents.
I confirm to the best of my knowledge that my child does not suffer from any medical conditions other than those detailed above.
I agree to notify BCLGA of any changes.
Being parent/carer of the above-named child, I hearby give permission for the BCLGA responsible person to give the immidiately necessary authority on my behalf for any medal or surgical treatment recommended by competent medical authorities, where it would be contrary to my child's interest, in the doctor's medical opinion, for any delay to be incurred by seeking my personal consent.
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