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Athlete Medical Information & Consent

To assist Hockey NSW and NSW Team staff in providing a safe and supportive environment during the U14 National Championships, we require all athletes to provide current medical, emergency contact, and health-related information.

This information will be used to ensure that team staff can respond appropriately in the event of illness, injury, or a medical emergency, and to support the ongoing health and wellbeing of athletes throughout the championship.

By completing this form, you consent to Hockey NSW and authorised NSW Team staff (including Team Managers, Coaches, and Medical Personnel) accessing and using this information where reasonably required for athlete welfare, medical treatment, risk management, and event operations.

All information provided will be treated with sensitivity and confidentiality. Medical information will only be shared with personnel who require access to support the athlete's health, safety, and participation, and will not be disclosed to any other parties without consent unless required by law or in the case of a medical emergency.

Please ensure all information is accurate and up to date and notify Hockey NSW of any changes prior to the commencement of the championship.

ATHLETE DETAILS

PARENT/GUARDIAN DETAILS

EMERGENCY CONTACT DETAILS

MEDICARE INFORMATION

PRIVATE HEALTH INSURANCE

MEDICAL HISTORY

ALLERGIES

ASTHMA

Max 5MB

MEDICAL CONDITIONS

MEDICATIONS

MEDICAL MANAGEMENT PLANS

Max 5MB

DIETARY REQUIREMENTS

TREATMENT AUTHORISATION

DECLARATION

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