Suburbs requires all tournament representative players travelling outside the Nelson region to complete the following consent forms. 

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PLAYERS/PARENTS ARE ASKED TO PRINT OUT THE FORM AND THEN COMPLETE THEM IN THEIR OWN HAND-WRITING.


Players, coaches and supporters must abide by the club's Code of Conduct.

CONSENT TO TRAVEL FORM

For NELSON SUBURBS FC - Players Under 18 years of age

Player Information

  • Full Name: __________________________________________________
  • Date of Birth: _________________________________________________
  • Address: _____________________________________________________
  • City: _________________________________________________________
  • Parent/Guardian Name: ______________________________________
  • Phone Number: ______________________________________________
  • Email: ________________________________________________________

Travel Details

  • Club Name: ___________________________________________________
  • Destination: ___________________________________________________
  • Date of Departure: _____________________________________________
  • Date of Return: _________________________________________________
  • Coach/Team Manager Name: ____________________________________
  • Emergency Contact Name: ______________________________________
  • Emergency Contact Phone Number: ______________________________

Medical Information

  • Allergies or Medical Conditions: __________________________________
  • Medications Taken Regularly: _____________________________________
  • Families Doctor’s Name & Contact: _______________________________

Consent & Agreement

I, (Parent/Guardian Name), give permission for my child, (Player’s Name), to travel with (Football Club Name) for the above-listed event(s). I understand that my child will be under the supervision of the club’s staff and that all reasonable safety precautions will be taken.

I authorize the club’s coaches, team officials, or designated representatives to act on my behalf in any medical emergency, including seeking medical treatment if necessary.

I release (Football Club Name), its staff, and representatives from any liability in case of injury, loss, or damage during travel, except in cases of gross negligence or wilful misconduct.

I confirm that my child is physically fit to participate in football activities and has no medical conditions that would prevent them from doing so safely.


Parent/Guardian Signature: __________________________________________________
Date: ________________________


Player’s Signature (if required): _______________________________________________
Date: ________________________