Please complete the following form to create a Team App account and join Ariels VNL.
If you already have a Team App account, please log-in now.
Do you have any dietary issues or requirements? Please specify
Are you on any current medications? Please specify
Please specify any allergies or intolerances (provide management plan to secretary@ariels.com.au if appropriate)
Please specify any asthma concerns (please provide an asthma management plan to secretary@ariels.com.au)
Please specify any anaphylaxis concerns (please provide an anaphylaxis management plan to secretary@ariels.com.au)
Please list all relevant current injuries that your coaches should be aware of
Can paracetamol be administered if considered necessary?
What was the date of your last tetanus shot? (should be within 10 years)
What is your Doctor or Medical Centre phone number?
What is the name of your Doctor or Medical Centre?
What is your private health insurance member number? (please type NA if you don't have private health insurance)
What is the name of your current private health insurance fund? (please type NA if you don't have private health insurance)
What is your Ambulance Victoria Membership Number? (please type NA if you answered No above)
Do you have Ambulance Victoria membership?
What is your medicare number?
