| Contact Details | |
|---|---|
| Legal Name | Jake Lord |
| Email hidden; Javascript is required. | |
| Phone | 07881388473 |
| Team | National Team |
| Jersey # | 40 |
| Date of Birth | 15/12/1992 |
| Next of Kin Details | In the case of emergency, who is the best person to contact |
| Name | Deepa Chand |
| Relation | Civil Partner |
| Phone | 07585227749 |
| Travel & Accomodation Details | |
| Travel Arrangement | Flight |
| Inbound Airline | |
| Inbound Airport Code | |
| Inbound Flight # | |
| Landing Date | |
| Outbound Airline | |
| Outbound Airport Code | |
| Outbound Flight # | |
| Departure Date | |
| Car Registration | |
| Who's the Main Driver? | |
| Travel Comments/Details | |
| Hotel / Accommodation Name | Hotel Mercedes Hamburg |
| Others Staying | Michael French & Dan Hughes |
| Hotel / Accomodation Comments | |
| Medical | |
| Medical Conditions | No |
| Condition Details | |
| Pre-existing injuries | Yes |
| Injury Details | Patellar Tendonitis (left knee) |
| Medication(s) | No |
| Medication Details | |
| Allergies | No |
| Allergy Details | |
| Agreements | |
| Authority reporting Approval |
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| Insurance Coverage |
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| Medical Release |
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