This information will be treated as confidential.The Adelaide Black Sea Dragons Co-ordinator will be the only person who sees the information below as part of his/her duty of care role.These details will be disposed of in a secure manner at the conclusion of the event.
TRAINING/MEDICAL HISTORY
How far can you swim in fully clothed without a personal floatation device (life jacket)?
¨ Non-swimmer
¨ <50 m
¨ <100m
¨ >200m
Have you had a recent Tetanus booster?
¨ Yes
¨ No
What background do you have in sport or physical activity?
Do you have any injuries or illnesses which may affect your ability to paddle?
Do you carry medications that you may require in an emergency? If so please specify.
Other
Do you have any concerns or queries regarding commencing training?
I provide this information to Adelaide Black Sea Dragons for the assessment of my ability to participate in this event.
I will not hold the Club or any of its employees liable for any personal injury or loss of property suffered by me at this Club’s activity, whether or not the same is due to the Club, its servants or agents.
