NORM HANN EXPEDITIONS
PERSONAL and MEDICAL INFORMATION
This information is confidential and is for the sole use of the instructors and qualified medical personnel to react appropriately in an emergency. A Release of Claims and this Medical Disclosure Form must be completed and handed to the instructor and discussed as necessary before participating in the program.
Date: March 21, 2019
If any of the above information changes prior to, or during the program, I will inform the guides.