Medical Form

Please take the time to fill out the medical form below. This information will be passed on to the Medical Directorate should you experience a medical situation.  Completion of this medical form is in your best interest.
Your First and Last Name (required)

Your Email (optional)

Please check the sport or activity you will be participating in at the Games (required)

 Archery Badminton Bocce Bridge, Duplicate Bridge, Social Carpet Bowling Cribbage Cycling Darts Dragon Boat Racing Equestrian Fast Pitch Five Pin Bowling Floor Curling Golf Horseshoes Ice Curling Ice Hockey Karate Lawn Bowling Mountain Bike Racing Pickleball Slo-Pitch Soccer Squash Swimming Table Tennis Tennis Track & Field Whist

Please provide a contact that can be reached during the Games in case of an emergency (required)



Have you permission from your physician to participate if you have had recent major surgery or heart attack? (required)

 Yes, I have permission No, I do not have permission This does not apply to me

In the space below, list any existing medical conditions you would want those assisting you in a medical emergency to know about. For example: medications you take with dosage, drug reactions, allergies, pre-existing conditions, high blood pressure, heart condition, pacemaker, joint replacement.

This information will only be used by the Medical Services Directorate in the Host Community.



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