Player Details form Please complete this form including any medical information that you feel is relevant to you playing ice hockey. Also include any information that would be helpful in the event of you being ill or having an accident during hockey training and games. Your Details Full Name* Date of Birth* Address* Postcode* Home Phone No. Mobile No.* Email 1st Emergency Contact Name* Phone No.* Address(if different from above) Postcode 2nd Emergency Contact Name Phone No. Address(if different from above) Postcode Medical Information Please indicate any relevant medical details (i.e. allergies, medication taken regularly, etc Any other information that you feel may be relevant or helpful ALL INFORMATION WILL BE TREATED IN THE STRICTEST OF CONFIDENCE AND WILL BE KEPT ON FILE FOR CLUB RECORDS ONLY
