Add Medical Information

Fill out the from below and press Submit to add new child medical details to your account

To comply with Health and Safety and Child Protection in sport, please read and complete the following section in full.
Child Name*
Date of Birth*
School Year*
1. Does your child have, or ever had any of the following:
Heart or Lung conditions (Inc. Asthma/ Bronchitis)*
Please provide details*
Experienced Fainting or Dizzy spells*
Please provide details*
Please provide details*
Any Joint / Muscular conditions*
Please provide details*
2. Is there any other condition that our coaches must be aware of to allow your child to participate safely in the After School Club?
Does your child require an Epipen?*
Please provide details*
If yes please ensure our coaches have your child’s EPIPEN action plan. Your child will not be able to attend the Camp without it.
Is your child/ren on the SEN register or has an EHCP ?(if Yes contact 07761 678535)*
Please provide details*