Accident Reporting

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Please use the form below to notify the club of any accidents incurred at the tennis club. Your form will be sent to our membership secretary and recorded in the clubs accident log in accordance with Data Protection Regulation

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Name: *

Date of Accident *

Time of Accident *

E-mail address: *

Nature of Accident - to include location, what occurred and nature of any injuries *

Any medical treatment received onsite *

Any medical treatment via GP/Hospital *

Captcha (spam protection code): *

I hereby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time. All personal details submitted on this form will be held by the club, kept safely and securely, and only for the purposes of tennis administration, in accordance with the GDPR. Details shall not be disclosed to any third party without consent.

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(Accidents are defined as injuries occurring as a result of a malfunction of the premises e.g. slippery court, being stung by nettles or scratched by brambles intruding on the court, loose steps, damaged fencing etc.).

21A Queenhill Road South Croydon CR2 8DU

info@selsdontennisclu b.com

selsdontennisclub.com

Welfare Officer

Felicity Abbot

welfareofficerstc@gmail.com

07080 962 328

Accident Reporting

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