Get Medical Release Form

Completing the Medical Release Form online is a straightforward process designed to ensure that your child can participate safely in activities organized by the Plainedge Soccer Club. This guide will provide you with clear, step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete your Medical Release Form online.

1. Press the ‘Get Form’ button to access the Medical Release Form and open it in the editor.
2. Provide the player's name in the designated field.
3. Indicate if the player is a U.S. citizen by selecting 'Yes' or 'No'.
4. Enter the player's address, ensuring you include the city, state, and ZIP code.
5. Fill in the player's birthdate and select their sex from the options provided.
6. Input the parent or guardian's name in the relevant section.
7. Provide both home and work phone numbers for the parent or guardian, ensuring to include area codes.
8. Include an emergency contact who is not the parent/guardian, along with their phone number.
9. List the primary medical insurance company and its policy number.
10. Detail any known allergies or relevant medical information about the player.
11. Read the section about the acknowledgement of risks and responsibilities carefully.
12. Grant permission to designated individuals for medical treatment in the area provided.
13. Enter the parent or guardian's signature and the date at the bottom of the form.
14. Verify all information for accuracy before submitting.
15. Once all sections are completed, save your changes, download, print, or share the form as needed.

Complete your Medical Release Form online today for a smooth registration process.