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Medical Form

Medical Information Form To be completed by participant or parents/carers of swimmers under 18 years.

Please delete ‘Yes’ or ‘No’ as appropriate and complete further details as necessary.

The Equality Act 2010 defines a disabled person as anyone with a physical or mental impairment that has a ‘substantial’ and ‘long-term’ negative effect on his or her ability to carry out normal daily activities. Do you consider this child to have an Impairment?
If yes, what is the nature of their disability?
Does the adult swimming have any medical requirments?

I understand that, in compliance with the Data Protection Act 1998, all efforts will be made to ensure that this information is accurate, kept up to date and secure and that it is used only in connection with the purpose and activities of the organisation. Information will not be kept once a person is no longer a member of the organisation. The information will be disclosed only to those members of the organisation for whom it is appropriate and relevant officers of the STA.

Thanks for submitting! 

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