Contact Details | |
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Legal Name | Scott Spearink |
Email hidden; Javascript is required. | |
Phone | 075813222 |
Team | Masters Team |
Date of Birth | 07/01/1987 |
Next of Kin Details | In the case of emergency, who is the best person to contact |
Name | Len Rodford |
Relation | Relative |
Phone | 01778440186 |
Travel & Accomodation Details | |
Travel Arrangement | Car (Drove Self) |
Hotel / Accomodation Name | Strathendrick House |
Others Staying | Adam Jones, Dean Holmes, Danny Jackson, Aaron Wheatley, Dan Hewitt, Josh Jennings |
Medical | |
Medical Conditions | No |
Pre-existing injuries | Yes |
Injury Details | Fracture Dislocation Left Ankle |
Medication(s) | No |
Allerigies | No |
Comments | Are there any other items that you believe the Coaches/Organisations should be made aware of? |
Agreements | |
Authority reporting Approval |
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Insurance Coverage |
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Medical Release |
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