PRESENT MEDICAL CONDITIONS
Do you have, or have you ever had any of the following specific conditions?
YOUR PERSONAL PHYSICIAN
If you have any medical issues that may affect your fitness to participate you are advised to seek advice from your own physician.
Please give the details of your primary medical care provider:
Please check the box below. Checking the box confirms: *
1.That you have read your course guidelines and are fit to undertake your chosen activity;
2. That you have provided accurate and complete information on your medical condition;
3. Your consent for Polar Expedition Training LLC to seek further medical information from your personal Physician after first notifying you of that intention;
4. That you will inform Polar Expedition Training LLC of any change in your medical details prior to the start of your course;
5. The right of Polar Expedition Training LLC to adapt or curtail your program due to medical or physical circumstances.