WISCONSIN YOUTH SOCCER ASSOCIATION EVENT MEDICAL RELEASE FORM 2013-2014 SEASON Player s Name Gender M Date of Birth MM/DD/YY F Club Mother s Name Home Phone Cell Phone Emergency Contact Doctor Emergency Phone Doctor Phone Medical Conditions Allergies IMPORTANT MEDICAL AND LIABILITY RELEASE MUST BE SIGNED Recognizing the possibility of injury or illness and in consideration for the Wisconsin Youth Soccer Association WYSA US Youth Soccer and members of US Youth Soccer accepting my son/daughter as a player in the soccer programs and activities of WYSA US Youth Soccer and its members the Programs I consent to my son/daughter participating in the Programs. Further I release discharge and otherwise indemnify WYSA US Youth Soccer its member organizations and sponsors their employees associated personnel and volunteers including the owner of fields and facilities utilized for the Programs against any claim by or on behalf of my player son/daughter as a result of my son s/daughter s participati....
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How to fill out the Wysa Medical Release Form online
Completing the Wysa Medical Release Form online is an essential step in ensuring your child's safe participation in soccer activities. This guide provides clear and supportive instructions to help you fill out the form accurately and efficiently.
Follow the steps to complete the form with ease.
- Click ‘Get Form’ button to obtain the form and open it in the document editor.
- Enter the player's name in the designated field. Make sure to spell the name correctly as it will be used for identification purposes.
- Select the player’s gender by marking either 'M' for male or 'F' for female.
- Input the date of birth in the MM/DD/YY format. Ensure the date is accurate to maintain correct age classification.
- Specify the club associated with the player, as this information is necessary for registration within the league.
- Provide both the mother’s and father’s names, along with their home and cell phone numbers. This is important for communication regarding the player.
- Designate an emergency contact who can be reached during events. Include their name and phone number.
- List the player’s doctor along with the doctor's phone number for reference in case of a medical emergency.
- Indicate any known medical conditions or allergies. This information is critical for the care of the player.
- Carefully read the important medical and liability release section. Ensure you understand the implications of consent and medical assistance before signing.
- Sign and date the form in the designated areas to confirm your consent and acknowledgment.
- If applicable, complete the addendum for any concussion or head injury sustained, including the medical professional's signature and date of evaluation.
- After completing the form, save any changes made, then download, print, or share the form as required.
Complete your Wysa Medical Release Form online today to ensure your child's participation in soccer activities.
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