International Surf Rescue Challenge - Personal, Travel and Medical Form

Australian Life Saving Team - 2025 ISRC

Personal, Travel and Medical Form
Personal Information
Name (as it appears on your passport)*

First NameMiddle NameLast Name
Preferred Name*

First NameLast Name
Team Member Email (this is the address that all team related information will be sent to, please check it regularly)*
example@example.com
Team Member Phone Number*
Date of birth*

DayMonthYear
Club*
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Emergency Contact Email*
example@example.com
Relationship to Emergency Contact*
Vaccination Information
Are you vaccinated for COVID-19? Reccomended for travel.*

YesNo
Have you had a flu vaccine this flu season? Recommended for travel.*

YesNo
Dietary Requirements
Do you have any dietary requirements?*

YesNo
If you answered yes to the above, please outline the requirement and any instructions the team should be aware of and plan for?
Medical Information
Do you have any medical conditions?*

YesNo
If you answered yes to the above, please outline the conditition and any medical treatment plans in place.
Do you have any allergies to medications or problems with anesthetics (should you need to be taken to hospital)?

YesNo
If you answered yes to the above, please provide details.
Is there anything else of a medical nature that the team should be aware of? Please provide information and an outline of your care plan if there is one in place.
It is your responsibility as an athlete or member of the team to have verified your medication (and have a TUE if required) and ensure that the medication and any supplementation you take is not on the banned substance list.

We strongly recomend that you download the Sport Integrity Australia app https://apps.apple.com/au/app/sport-integrity-australia/id1360121308
Travel Information
Passport Number*
Passport Expiry Date*
Please ensure that you have an expiration date of no less than 6 months prior to travel.
Please upload a copy of your passport*

Cancelof
Uniform

The uniform provided for this team will be supplied by Engine. Sizing guides are available on the Engine website https://www.engineswim.com/size-charts/ to assist with sizing preferences. Best effort will be made to provide the sizes requested below.

Female Uniform Sizing

	XS	S	M	L	XL
Polo Shirt
T-Shirt
Singlet
Track Jacket (unisex)
Track Pant (unisex)
Hoodie (unisex)
Deck Parka (unisex)
Shorts

Female Swimwear Sizing

	6	8	10	12	14
Two Piece
One Piece
Pink Competition Rashie

Male Uniform Sizing

	XS	S	M	L	XL	2XL
Polo Shirt
T-Shirt
Singlet
Track Jacket (unisex)
Track Pant (unisex)
Hoodie (unisex)
Deck Parka (unisex)
Shorts

Male Swimwear Sizing

	S / 30 / M12	M / 32 / M14	L / 34 / M16	XL / 36 / M18	2XL / 38 / M20
Brief
Jammer
Pink Competition Rashie

Due to ordering timeframes, uniforms have been ordered in advance. The above sizing will assist team management with the distribution of uniform, and management will do their best to meet your sizing requirements. Thanks for your understanding.
Should be Empty:

Australian Life Saving Team - 2025 ISRC

Personal Information

Emergency Contact Information

Vaccination Information

Dietary Requirements

Medical Information

Travel Information

Uniform