Contact Details | |
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Legal Name | Anca Davies |
Email hidden; Javascript is required. | |
Phone | 07387858004 |
Team | Womens Team |
Date of Birth | 01/06/1975 |
Next of Kin Details | In the case of emergency, who is the best person to contact |
Name | Lauren Davies |
Relation | Spouse |
Phone | 07902931722 |
Travel & Accomodation Details | |
Travel Arrangement | Car (Drove Self) |
Medical | |
Medical Conditions | No |
Pre-existing injuries | Yes |
Injury Details | Right Achilles ruptured |
Medication(s) | Yes |
Medication Details | Thyroid Levothyroxine |
Allerigies | Yes |
Allerigy Details | Penicillin |
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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