Please detail below any important medical information that our coaches should be aware of (e.g. epilepsy, asthma, diabetes, allergies etc.) Please do not leave blank – if there is no information please write ‘None’.
Please insert the information below to indicate the persons who should be contacted in event of an incident/accident
It may be essential at some time for authorised persons acting on behalf of the club to have the necessary authority to obtain urgent treatment which may be required whilst at representative club competition or training.
By returning this completed form, I am willing to abide by the club code of conduct for athletes and agree to always behave in the manner befitting a DH Runner, when attending club events.
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