Player Medical Informational Release and Waiver Player Name: Date of Birth: Parents Names: Address: City: State: Zip: Contact Number 1 ( ) Contact Number 2 ( ) Emergency Contact Name: Contact Number.

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How to fill out the Medical Release Form - USSSA Soccer online

Filling out the Medical Release Form for USSSA Soccer online is a critical step in ensuring your child's safety during participation in soccer programs. This guide will walk you through each section of the form, providing clear instructions to help you complete it accurately and efficiently.

Follow the steps to successfully complete the Medical Release Form online.

  1. Click ‘Get Form’ button to obtain the Medical Release Form and access it in your preferred format.
  2. Begin by entering the player's name in the designated field followed by their date of birth. Ensure that the information is accurate as it is essential for identification.
  3. In the section for parents' names, fill in the first and last names of one or both parents or guardians of the player.
  4. Complete the address section by entering the player's residential address, including city, state, and zip code. Make sure to double-check the accuracy of the details.
  5. Provide two contact numbers where you can be reached. Include the area code for each number to ensure correct dialing.
  6. Identify an emergency contact by filling in their name and contact number. This person should be someone available in case of any emergencies during soccer activities.
  7. List any medical conditions or allergies that the player may have. This information is crucial for ensuring adequate medical care if needed.
  8. Enter the name of the primary medical insurance company. Ensure that the policy holder's name and policy number are correctly filled in to facilitate any necessary medical treatment.
  9. Complete the contact telephone number for the insurance company, ensuring that the area code is included.
  10. Read the Parent/Guardian Release section carefully. By signing here, you are agreeing to release USSSA and related parties from any claims relating to participation in the program.
  11. Sign and date the form where indicated. This confirms your understanding of the terms outlined in the release.
  12. Once all fields are complete, you can save your changes, download the document, print it, or share it as necessary.

Start filling out the Medical Release Form online today to ensure your child's participation!

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