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Health Details
Please indicate if your child suffers from any of the following:
Dizziness/fainting spells
Migraines
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Other (please specify):
What special care is recommended (if any of the above are ticked)?
Please indicate if your child has a developmental disability
To ensure that we can provide appropriate assistance to your child, please indicate if your child has a developmental disability and any additional information which will assist us to best support their learning.
Account details
Name of person account should be directed to
Address account should be directed to
Consent
Consent to Medical Attention
I hereby authorise the staff of Ivanhoe Girls' Aquatics (where it is impracticable to communicate with me) to provide medical or first aid treatment as may be deemed necessary. Under the provisions of the Privacy Act, the above information will remain confidential to the Ivanhoe Girls' Aquatics Swimming Manager and appointed swimming teacher.
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