Player Welfare Form - UCSB 2018

Player Gender *

Male

Female

*

Tick to confirm that this player is physically and mentally fit to be able to attend the tour and participate in sporting activities

Does the player have any medical conditions or allergies? *

Yes*

No

Is this player currently taking any medication? *

Yes*

No

Does this player have any dietary requirements? *

Yes*

No

Has the player had a tetanus injection in the last 5 years? *

Yes

No

Do you give consent for this player to go swimming at venues with swimming pools? *

Yes

No

Do you consent to camp staff administering medicine (e.g. paracetamol/tylenol/ibuprofen/advil) as required? *

Yes

No

Do you consent to official photography which may be used for promotional material? *

Yes

No