Swimming Academy Confirmation And Medical Form printable pdf download

Swimming Academy Confirmation And Medical Form

CONFIRMATION and Medical Form

Meet Name

Dates

It should be realised that these pursuits do contain some element of risk. This risk is

countered by carefully structured and sequenced activities, and by supervising with suitably

competent staff and adults. It is important that students follow any instructions given to them

and follow the few rules imposed on them. It should also be realised that because of the

changeable and unpredictable nature of the outdoors that the risk can never be reduced to

zero.

For the duration of the trip normal Academy rules of behaviour will still apply.

Please answer the following questions by ticking the appropriate answer and elaborate where

applicable.

Medical Conditions

Yes

1. Is your swimmer’s tetanus inoculation current?

2. Does your swimmer have any particular dietary needs? Eg, Vegetarian

If yes, details please:

3. Has your swimmer had contact with any contagious diseases that we

should be aware of?

If yes, details please:

4. Is your swimmer taking any medication?

If yes, details please:

5. Is your swimmer allergic to:

Any medication?

Any food?

Bee/Wasp stings?

Anything else?

If yes, details please:

What action should be taken?

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Swimming Academy Confirmation And Medical Form