USLA - Champions Premier Registration PacketFALL2017SPRING2018 2026

1. Click ‘Get Form’ to open the USLA - Champions Premier Registration Packet in the editor.
2. Begin by filling out the Player Information section. Enter the player's last name, first name, middle initial, and birthdate in the designated fields.
3. Provide the home telephone number and street address, ensuring all details are accurate for effective communication.
4. In the Medical Information section, indicate whether your child has had a physical in the last 12 months and if they have medical insurance. Fill in the insurance carrier's name if applicable.
5. If your child has any medical conditions or disabilities, please explain them in the provided space to ensure proper care.
6. Complete the Emergency Authorization section by providing an emergency contact's name and phone number.
7. Fill out Parent/Guardian Information with both parents' names, contact numbers, and email addresses for seamless communication.
8. Finally, sign and date the form at the bottom to confirm your consent and understanding of the terms outlined.

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