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2019 Step Up Sky Tower Stair Challenge 
Pre-Existing Medical Conditions

Please fill out this form to complete your registration

In order to confirm your place in the 2019 Step Up Sky Tower Stair Challenge, you need to declare any pre-existing medical conditions you have. This includes, but is not limited to, any cardiac related issues, asthma, and epilepsy. 

Your medical information is confidential and will remain solely with the event organisers and medical team.
All participants must complete this form in order to be allowed to compete in the event.
1.First name(Required.)
2.Last name(Required.)
3.Organisation or Community team name (if taking part as an individual please enter N/A)(Required.)
4.Do you have any pre-existing medical conditions?(Required.)
5.Please outline any pre-existing medical conditions you have. You may be requested to provide further medical information to participate in the event.