Gameday Medical

Contact Details
Legal NameLaura Flint
EmailEmail hidden; Javascript is required.
Phone07853334889
TeamWomens Team
Jersey #51
Date of Birth21/04/1989
Next of Kin DetailsIn the case of emergency, who is the best person to contact
NameLorraine Holder
RelationParent
Phone07429320133
Travel & Accomodation Details
Travel ArrangementCar (Share)
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?Sydonie, Garvin, Bruno
Travel Comments/Details
Hotel / Accommodation NamePremier Inn Glasgow Stepps
Others StayingSydonie, Garvin and Bruno
Hotel / Accomodation Comments

Friday 16th February to Sunday 18th February

Medical
Medical ConditionsYes
Condition Details

Potential arthritis in my back, trapped nerve and osteoporosis. No adjustments, im good, all Potential!

Pre-existing injuriesNo
Injury Details
Medication(s)No
Medication Details
AllergiesYes
Allergy Details

Penicillin

Agreements
Authority reporting Approval
  • agreed
Insurance Coverage
  • agreed
Medical Release
  • agreed
Sealand Seahawks

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