Medical Consent and indemnity Form

Medical Consent and indemnity Form

Medical Consent and indemnity Form Form Preview
Medical Consent & indemnity Form
  • Medical Consent & Indemnity

  • Please complete one Medical Consent and Indemnity form per Team Member travelling to Gymnaestrada

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  • (Parent/Guardian – if under 18 years of age) hereby give permission for the Team Manager, or designated representative, to seek medical aid in the event of an accident, injury or illness. General medical aid, including transport, will be at the discretion of the Manager or designated representative.

    In addition:

    Specific permission, on appropriate medical advice is given for the following:

  • (General Note: Parents/Guardians will be contacted, if possible, prior to any medical attention being given.)

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  • Health Insurance Information

    Please complete where applicable
  • Emergency Contact Details

    Team Members are requested to list at least 1 emergency contact
  • Should be Empty: