ISA Medical Form

  • Date Format: DD slash MM slash YYYY
  • I give my consent for the above mentioned student to participate in the activity above and agree to delegate my authority to the staff and instructors involved. Such teachers and instructors may take whatever disciplinary action they deem necessary to ensure the safety, well-being and successful conduct of the students as a group, or individually, in the above mentioned activity. I also authorise the teachers and instructors to obtain medical assistance, which they deem necessary should an accident occur, and agree to pay all medical expenses incurred on behalf of the above-mentioned student. I submit the attached medical information about the above-mentioned student and include details of limitations, which he/she has for the activities concerned. I further authorise qualified medical practitioners to administer emergency treatment as required, if such an eventuality arises. I acknowledge the ISA does not carry personal (individual) injury insurance and that all medical costs resulting from injury at ISA or CIS events are the responsibility of individual schools or families. I accept that my child is to behave in an appropriate manner and have explained this obligation to him/her. I have sighted the ISA Code of Conduct in the Sport Section of the ISA Website www.isa.nsw.edu.au and agree that if my child seriously contravenes behavioural expectations, he/she may be immediately excluded from the activity at my expense with no refund available. I have received and read the relevant information relating to the representative sporting program my child has been nominated for, and hereby consent to my child participating in these events and that my child understands he/she will need to attend all the dates and fulfil all commitments and obligations. I also note that if a player fails to fulfil the commitments without good reason, they may not receive representative player recognition, such as colours, and may be excluded from all remaining ISA Sports for a period of 12 months.
  • Date Format: DD slash MM slash YYYY

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Please note: Every attempt is made for accuracy at the time of publishing but unexpected circumstances may affect dates, times and venues.