Gameday Medical

Contact Details
Legal Namegraham baker
EmailEmail hidden; Javascript is required.
Phone07975971959
TeamNational Team
Jersey #77
Date of Birth17/06/1995
Next of Kin DetailsIn the case of emergency, who is the best person to contact
NameEmily Parr
RelationSpouse
Phone07776 270583
Travel & Accomodation Details
Travel ArrangementFlight
Inbound AirlineEurowings
Inbound Airport CodeHAM
Inbound Flight #EW7769
Landing Date04/04/2024
Outbound AirlineEurowings
Outbound Airport CodeMAN
Outbound Flight #7768
Departure Date07/04/2024
Car Registration
Who's the Main Driver?
Travel Comments/Details

Have hired a car so can do some lifts if needed

Hotel / Accommodation NameCAB20
Others Staying
Hotel / Accomodation Comments
Medical
Medical ConditionsNo
Condition Details
Pre-existing injuriesNo
Injury Details
Medication(s)No
Medication Details
AllergiesNo
Allergy Details
Agreements
Authority reporting Approval
  • agreed
Insurance Coverage
  • agreed
Medical Release
  • agreed
Sealand Seahawks

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