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Players first name
Players last name
Players date of birth
Players Doctor's name
Players Doctor's address
Has your child ever suffered from the following?
Tick here, if none of the below apply
Heart, blood pressure or circulation issues?
Chest or respiratory issues? Eg/ Asthma, Bronchitis, Hay fever?
Sporting injuries/on prescribed medication?
Are currently receiving treatment for anything?
Any other information / conditions we need to be aware of?
Do you give permission for qualified First Aid if deemed necessary?
Occasionally we will take group photos etc for our content channels-please inform us if you do not wish your child to be in the photos with all the other players?
How did you hear about us?
Footy School Kit
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