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Official Info: G2G5 Health Form

Cap'n Gaerlick

Captain Gaerlick of 1st Gaerlick Guide
#1
Please copy the Health Form detailed below , complete form and place in envelope with your user name clearly marked on envelope. This form should be handed to Jim or Kate (Sparkly Guider) who are First Aiders for the weekend. The envelope will be returned to you unopened at the end of the weekend.

G2G5 HIGHLAND FLING HEALTH FORM


Personal Details

Name……………………………….................................. ............................
User Name……………………………….................................. .....................
Date Of Birth………………………………................................. ....................
Address………………………………............................... ............................
………………………………...................................... .....................
Telephone ………………………………...................................... .................
Mobile………………………………................................ .............................
Doctor………………………………................................ .............................
Number………………………………................................ ...........................

Health Conditions

Details Of Any Illness………………………………............................... ............
………………………………...................................... ...............................
………………………………...................................... ...............................
Details Of Any Allergies………………………………............................. ...........
………………………………...................................... ..............................
………………………………...................................... ..............................
Details of Any Medication You Are Taking……………………………….............
………………………......................................... .................................
………………………………...................................... ..............................

Emergency Contact

Name……………………………….................................. ............................
Relationship……………………………….......................... ............................
Telephone………………………………............................. ...........................
Mobile………………………………................................ .............................

Name……………………………….................................. ............................
Relationship……………………………….......................... ............................
Telephone………………………………............................. ...........................
Mobile………………………………................................ .............................
 

jim

Moderator
GuiderPlus
#3
can I suggest any major allergies on envelope so we have an idea of what you may be dying of without having to open envelopes such as allergic to every thing
I know we are usualy told by you of any allergies but remembering who has what can be confuddling and better to be safe
 

jennthedeadfunkyranger

Guide Guider
GuiderPlus
#4
Just allergies, or any other more serious condition (asthma, diabetes, epilepsy etc)? Don't worry - I don;t have all three of those!

You don't need to know about my allergy. It won't kill me or anything. It's just weird!
 

jim

Moderator
GuiderPlus
#5
would leave that up to individual some may not want it in open
symptoms of those are easy to spot and not likely to be instant where as allergic reaction can come on all of a sudden and be life threatening well epilepsy can be but can be dealt with reasonably quickly without quite as much urgency
 

jennthedeadfunkyranger

Guide Guider
GuiderPlus
#9
*Passes over a form to Madmonkey to sign. Madmonkey signs, not realising that she's signed to give all her money to the help the unemployed Jennthefunkyranger fund... Jenn cackles*