Sifil AFC Minis Juniors - Medical Information & Consent Form

Medical Information

Please provide details of any medical conditions, allergies, or injuries your child has, and any medications they may be currently taking.

For any questions or concerns regarding your child’s medical care, please contact one of the coaches. Thank you for your cooperation!

Sifil AFC

Player's Full Name *

Date of Birth *

Age Category *

Does your child have any medical conditions or allergies we should be aware of? *

Yes

No

If yes, please specify:

Is your child currently taking any medications? *

Yes

No

If yes, please specify:

Does your child have any dietary requirements? *

Yes

No

If yes, please specify:

Emergency Contact - Name *

Emergency Contact - Tel Number *

Relationship to the Child *

GP Surgery *

GP Phone Number *

Consent *

I confirm that the above information is accurate and complete. I give permission for the coaches and staff of Sifil AFC to administer first aid to my child in the event of an injury or medical emergency. In the case of a more serious situation, I authorise the club to seek professional medical assistance (e.g., hospital treatment), if necessary, for the well-being of my child.

I also confirm that I will notify the club of any changes to my child's medical conditions.

Yes

No

Parent/Guardian's Name *

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