Medical History Form
Please note that this form is not required to be filled out, however, it is appreciated if your child has any notable medical history. This information helps our coaches create a lesson that is suitable and safe for your athlete. If your athlete has no notable medical history or you are uncomfortable sharing this information, please DO NOT complete the form.
Athletes name
First Name
Last Name
Check the conditions that apply to your athlete:
ADHD
Diabetes
Asthma (or other lung diseases)
Epilepsy
Autism
Hearing Impiared
Cerebral Palsy
Heart condition
Musculoskeletal
Psychiatric
Fainting
Anaphylaxis or Allergies
Other
If you have ticked anything above, please describe in as much detail as possible
Please also explain if there is any specific plan you would like us to follow
Submit
Should be Empty: