(1)  Medical Form

You must enter in your name and email address in the appropriate fields. Additionally, please collect the following information and enter it into the Medical Form:

• List of medications, including dosage, side effects, restrictions, schedule, and for what condition
• Immunization records, including year administered
• Dates of significant injuries and illnesses
• Primary Physician contact information
• Health Insurance information (Policy Number, Group Number, Policy Holder, etc.)

(2)  TERMS OF AGREEMENT

Please read the Terms of Agreement carefully! Please be sure to read this information to ensure that you are familiar with the contents. When you are finished reading, you must sign in the indicated areas.

(3)  RISK ACKNOWLEDGEMENT

Please read the Risk Acknowledgment carefully! When you are finished reading, you must sign in the indicated areas.

(4)  COURSE GOALS

You will need to fill out your personal goals for the course; please be thoughtful and thorough in your answers, as this information is very valuable to your instructors. All information in this form is fully confidential!  For correct filing in our system, please use the exact name you registered under to complete this document.

(5)  WHAT’S NEXT

You will receive an informational email within 3-5 days. This email will include a packing list, rental request form, physical conditioning training plan, policy packet, and case study. Please check your spam folder if you do not see it come through in the time frame given above. If you have any questions in the meantime, please contact audreys@srom.org.