GB Youth Development Programme

Youth Medical Disclosure

This form is for the parent or guardian to complete to let us know about any medical issues that we should know about and to give consent on how to handle a medical issue.

(if yes please give details below ) ; Anaemia ( Iron Deficiency ) , Asthma, Back Problems, Diabetes, Eplilepsy, Hay Fever, Heart Conditions, Haemophilia, Migraines, Nervous Disorders, Respiratory Problems, Or any other disorders/problems that may affect your physical training ? (please detail below any conditions and how this is personally managed)
Clear Signature