Free Sports Club Medical Form Template
Sports Club Medical Form
Please complete this form to ensure we have up-to-date health information for your safety while participating in sports activities.
Personal Information
Name
Date of Birth
Phone Number
Health Information
Do you have any existing medical conditions?
If yes, please list
Are you currently on any medication?
If yes, please list
Do you have any allergies?
If yes, please specify
Have you had any recent surgeries or medical procedures?
If yes, please explain
Do you have any physical limitations or concerns?
If yes, please describe
Consent
I understand that the information provided above is accurate and complete to the best of my knowledge. I agree to inform [Your Sports Club Name] of any changes to my health status.
Name:
Date:
Thank you for your submission!
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