GBDF Spring Masters, Royal Commonwealth Pool, Edinburgh
Name *
Your answer
Diving Club/Group/Independent *
Your answer
Blood Group (n/a if unknown) *
Your answer
Date of Birth
MM
/
DD
/
YYYY
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Doctor's Name
Your answer
Doctor's Phone Number
Your answer
Please detail any relevant injuries or ailments, and any past relevant medical history e.g. asthma, blood pressure, heart conditions, back issues, etc. *
Your answer
Please list any allergies (n/a if none) *
Your answer
Please give details of any medication that is currently being taken
Your answer
This information is confidential and only applies to the event shown above. It will be destroyed after the event has finished.
A copy of your responses will be emailed to the address you provided.