| Contact Details | |
|---|---|
| Legal Name | Ellis Warner-Larthe |
| Email hidden; Javascript is required. | |
| Phone | 07532725860 |
| Team | National Team |
| Date of Birth | 04/03/1995 |
| Next of Kin Details | In the case of emergency, who is the best person to contact |
| Name | Eleanor |
| Relation | Spouse |
| Phone | 07429461006 |
| Travel & Accomodation Details | |
| Travel Arrangement | Flight |
| Travel Comments/Details | BA Heathrow ba0972 |
| Hotel / Accomodation Name | Hotel NH Horner |
| Others Staying | Alex Abineri |
| Medical | |
| Medical Conditions | No |
| Pre-existing injuries | Yes |
| Injury Details | 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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