Required Actions

1. Read and understand all sections of this Statement on Safety & Community Standards. 

2. Complete the Clash Summer School Personal Medical Assessment. You will be asked to provide the following information to assist with planning & logistics. We understand this information is very sensitive. Completed forms are held in strict confidence and are given only to emergency responders in the event that you are unable to do so yourself. All forms are destroyed at the end of the activity. Before you begin, please collect the following information: a. Medical Insurance carrier, policy number, and contact phone number 

   2. • Any Health & Safety training (e.g., CPR/AED) courses you've completed and approximate dates of completion 

      • A list of all medications you take regularly, including drug name(s), dosage(s), & times you normally take them. 

      • Information on any dietary restrictions and known allergies 

      • Details associated with any preexisting medical conditions 

      • Unless otherwise indicated, all fields are required – do not leave blanks. If a field is inapplicable to you, please clearly indicate with “n/a.”  

Sign and return by July 10 the Personal Medical Assessment and Statement on Safety & Community Standards Acknowledgement form indicating that you have reviewed and understand the health and safety material provided. Please remember, your participation on the required field trip and completion of this course is contingent upon your  timely submission of these forms.