Junior Player Medical Information

Important Note:

 

Authorisation to administer Pain Relief. By agreeing to tick the 'yes' box on the form below, the parent and/or guardian understands that they hereby authorise for the player to be administered one (1) single dose (amount according to packaging directions of Panadol or similar) in the event of a high fever or headache. The parent/guardian understands that the player will be taken to a medical practitioner if these symptoms continue.  

Private Health Insurance
Does the player suffer from any of the following:
Any current injuries or conditions
Will competition aggravate these injuries or conditions?
Is the player taking medication?
Authorisation to administer pain relief
The information provided is true and correct
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