OZ1 Airsoft - Medical Consent Form
This form is for all players travelling to OZ1 Airsoft's Conquest 2019 event. The information on this form is used to ensure the safety of all players during the event and will only be used in the event of a medical emergency. Only the medical team and (if required) OZ1 management will have access to this information.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Emergency Contact (ICE)
*
First Name
Last Name
Emergency Contact (ICE) Phone Number
*
-
Area Code
Phone Number
Medical History(including all/any medical conditions, illnesses, diseases, injuries)
*
Medications (include drug name, dosage, reason for use)
*
Allergies (include any/all allergies, food, medications, bee stings, etc)
*
Submit
Should be Empty:
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