HEALTH FORM

Health Declaration

Please complete this health form so we can support you safely during your training.

HEALTH FORM

Your Health Details

NAME *
CONTACT IN CASE OF EMERGENCY
CURRENT STATE OF HEALTH — PLEASE SELECT WHAT'S APPLICABLE *

Please inform us about any medical condition that you may have, so in case of emergency we can inform relevant doctors about it.

PREVIOUS STATE OF HEALTH — PLEASE SELECT WHAT'S APPLICABLE *
ARE YOU TAKING CHRONIC MEDICATION? *
I ACKNOWLEDGE: *
BY SIGNING I ACCEPT THE TERMS AND CONDITIONS *