If you have not been to a Faded Glory event before or if your emergency details have changed, event staff will need your updated information before you can take part.  Please fill out the form below to provide us with the most up to date information.

Please note, this information is not shared with anyone and will only be used in the event of an emergency while at one of our events.

Name *
Emergency Contact Name *
Emergency Contact Address *
Emergency Contact Telephone Number *
Please give details of any medication you are taking
Please give details of any medical conditions or allergies you have
Please type the letters and numbers shown in the image.
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