If the athlete has any special dietary requirements, please list. IF NIL write N/A
If the athlete takes any medication. List frequency - dosage. IF NIL write N/A
If the athlete has any medical conditions, please list. IF NIL, write N/A
By writing your name you are signing to say that you have read and understood the consent form.
PO Box 307 Macarthur
Square NSW 2560
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