Medical Release Form - USSSA Soccer 2026

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  1. Click ‘Get Form’ to open the Medical Release Form in the editor.
  2. Begin by entering the Player Name and Date of Birth in the designated fields. Ensure accuracy as this information is crucial for identification.
  3. Fill in the Parents' Names and Address, including City, State, and Zip Code. This section helps maintain clear communication regarding your child's participation.
  4. Provide two contact numbers for emergencies. Make sure these are current and accessible during events.
  5. Complete the Emergency Contact section with a name and phone number, ensuring someone can be reached if needed.
  6. List any medical conditions or allergies your child may have to inform coaches and medical staff.
  7. Enter details about your Primary Medical Insurance Company, Policy Holder, Policy Number, and their contact number for any necessary medical inquiries.
  8. Read through the Parent/Guardian Release statement carefully. By signing, you acknowledge understanding of the risks involved in soccer participation.
  9. Finally, sign and date the form to complete it. This confirms your consent for your child's participation and medical treatment if necessary.

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In 1997 at the National Meeting in Myrtle Beach, South Carolina, the United States Specialty Sports Association (USSSA) became the first multi-sports governing body to oversee slow and fast pitch softball, baseball, basketball and golf.
An Athletic Release Form must be completed prior to a student attending or participating in a camp, clinic, private or group instruction/training, or on a non-school team that is organized, led, or coached by a coach or any other person affiliated with a AAA member school other than the school in which the student is
Begin by specifying your name, the entity authorized to disclose information, and the individuals or entities you authorize to receive it. Indicate the specific information and purpose for which it will be disclosed, add an expiration date or event, and sign and date the form to confirm your consent.
The purpose of the medical release form is to provide consent for emergency medical treatment for young athletes under the care of their team officials during sporting events. This document ensures that healthcare providers can act swiftly in case of injuries or medical issues.
The student or the students parent should provide a medical providers note to certify that a student is physically cleared to resume playing or practicing in their respective sport. The athletic trainer should then communicate the students activity level to the appropriate members of the coaching staff.

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