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Undy AFC Medical Declaration

All registered players should complete the following medical declaration.

This form can also be downloaded so that you can complete and hand to your coach here.


Player Details

Emergency Contacts

Medical Details

Note: It is the responsibility of the parent/guardian to notify the club of any changes to this declaration and by signing this form you give consent for the appointed first aider to administer basic first aid or to take whatever action deemed appropriate in an emergency situation. If consent isn't given the parent/guardian must remain at the session at all times. This form will be retained by the team coaches for reference.

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