Medical Release Form - Capital Soccer Association 2026

1. Click ‘Get Form’ to open the Medical Release Form in the editor.
2. Begin by entering the player's name in the designated field at the top of the form.
3. As a parent or legal guardian, provide your name and request medical treatment authorization for the player in your absence.
4. Fill in the player's date of birth, ensuring you select the correct month, day, and year.
5. Indicate the date of the last Tetanus booster by selecting from the provided fields.
6. List any known allergies and other medical issues that should be noted for medical personnel.
7. Provide contact information for both parents/guardians, including phone numbers and addresses.
8. If applicable, fill out details for a person responsible for charges and an emergency contact if you are unavailable.
9. Complete insurance information, including carrier and policy number.
10. Finally, sign and date the form as a parent or guardian. Notarization is optional but can be included if desired.

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