Gameday Medical

Contact Details
Legal NameJohn Gilmartin
EmailEmail hidden; Javascript is required.
Phone07539927784
TeamMasters Team
Jersey #78
Date of Birth30/06/1984
Next of Kin DetailsIn the case of emergency, who is the best person to contact
NameClaire Gilmartin
RelationSpouse
Phone07828190629
Travel & Accomodation Details
Travel ArrangementCar (Drove Self)
Inbound Airline
Inbound Airport Code
Inbound Flight #
Landing Date
Outbound Airline
Outbound Airport Code
Outbound Flight #
Departure Date
Car RegistrationGX66 RVE
Who's the Main Driver?
Travel Comments/Details
Hotel / Accommodation NameGlasgow Pacific Quay hotel
Others StayingJohn Diver, Tom Moxon
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
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