Only players participating in the US Youth Soccer Minnesota State Cup or an out-of-state tournament need to have this form notarized unless required by your club. LIABILITY/MEDICAL RELEASE Player s Name Date of Birth Address City ST Zip EMERGENCY INFORMATION Parent/Guardian Name Home Ph Work Ph Allergies Other Medical Conditions Phone Medical Insurance Company Policy Number Policy Holder Player s Physician In an emergency when parent/guardian cannot be reached please contact Name PLAYER OR PARENT/GUARDIAN AGREEMENT I as the adult-age player or the parent/guardian of the registered minor player agree to abide by the rules of the Minnesota Youth Soccer Association MYSA US Youth Soccer and its affiliated organizations and sponsors. MINNESOTA YOUTH SOCCER ASSOCIATION INC. www. mnyouthsoccer. org IMPORTANT Please send the completed form to the club you are registering with not MYSA. Only players participating in the US Youth Soccer Minnesota State Cup or an out-of-state tournament need to h....
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How to fill out the Mysa Medical Waiver online
Completing the Mysa Medical Waiver is an essential step in ensuring the safety and well-being of players participating in soccer programs. This guide will walk you through the process of filling out the waiver online, providing detailed instructions for each section.
Follow the steps to complete your Mysa Medical Waiver online
- Click the ‘Get Form’ button to obtain the Mysa Medical Waiver and open it in your preferred online editor.
- Fill in the player's name in the designated field. Ensure that the name matches the one used in official registrations.
- Complete the emergency information section by providing the name, home phone, and work phone of at least one parent or guardian. Repeat this for a second parent or guardian if applicable.
- List any allergies and other medical conditions that the club should be aware of, ensuring that the player’s health needs are communicated effectively.
- Enter the name and contact information of the player's physician to facilitate quick access in emergencies.
- Review the player or parent/guardian agreement carefully. Sign and date the document to confirm your understanding and agreement to the terms.
- If notarization is required, make arrangements for a notary public to sign and date the form. Ensure that any required seals or stamps are present.
- Once you have finished filling out the form, save your changes. You can then download, print, or share the waiver as necessary.
Complete your Mysa Medical Waiver online today to ensure your participation in soccer programs!
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