• Athlete Medical Information and Indemnity Form

    Welcome to Yarra Plenty Waves

  • The Club requires information as requested below for use in relation to all activities, both internal and external, in which the Club participates. These include but are not limited to training, competition, team trips, swim camps and team meals.

    This personal information will only be used in the event of injury, illness or emergency, if required. Your details will be disclosed to the appropriate officials and Club personnel only. You will be able to access your personal information from upon reasonable notice. Please inform us should any details change.

  • Swimmers General Information

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Emergency Contact Information

  • Medical Information

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Family Doctor

  • Consent to Medical Treatment

  • In the event, {SwimmersName}, requires medical treatment or in case of a medical emergency, I consent to the Yarra Plenty Swimming Club Inc. and its representatives, providing first aid or treatment and I further authorise the Yarra Plenty Waves and its representatives, where it is impracticable to communicate with me, to arrange such medical and/or surgical treatment as may be deemed necessary.

    I also undertake to pay any and all costs which may be incurred for the first aid, medical treatment, ambulance transport and drugs.

    I would expect a Yarra Plenty Swimming Club Inc. representative to contact listed emergency contacts as soon as possible.

  • I   *   to the above outlined medical consent.

  • Should be Empty: