Microsoft Word - Water Sports Medical Info Form TALBF003.doc by L9k7v8N5


									                                Water Sports Medical Information Form

Please list all activity participants below. Please use another sheet if more space is required and attach to this form.
For clarification on any condition you think we should know about, please contact the organiser to discuss details
further. The organiser should be notified of any changes to this list as soon as possible.

                                                                                              Emergency   Emergency
                                                                                              contact     Contact
Full name (please print)   Medical Condition(s) This is important please list   D.O.B. If     person      Number
                           any relevant conditions!                             under 18yrs

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