Please complete and submit the Health Waiver From. 
Link below.
Submit by pressing 'Submit' button at the bottom of the Form.  Any problems with submission please let me know.

Your information will remain private and I will also use your Address and Emergency Contact Person if I believe, by observing you on the screen, that I need to get someone around to assist you.   
Thank you for your co-operation.
I generally ask you to update this information annually.