Medical information

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Where a question does not apply to you please leave blank. Rotary International District 9800 and the Doxa Youth Foundation will collect and store the information you voluntarily provide. The information will be stored in a manner so that it will only be accessed by authorised Rotary Volunteers and Doxa staff, and subject to privacy restrictions. The information is collected to use during a medical emergency and may also be provided to medical professionals where necessary. Rotary District 9790 and the Doxa Youth Foundation are committed to protecting the privacy and confidentiality of your personal information. Our privacy policies adhere to the National Privacy Principles as required under the Privacy Act 1988. A copy of our privacy policies are available online at and We use Microsoft 365 to collect and store your information; for information about the security of Microsoft 365 see: Privacy at Microsoft.
If you do not have an Ambulance Subscription (or coverage under private health insurance) please ensure you get one before RYLA by visiting You will be liable for any costs in relation to the calling of an ambulance if you do not have cover.
Include the reference number next to your name at the end. If you are not an Australian resident, enter your medical insurance policy number.