Iysa medical waiver 2025

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4.6 out of 5

47 votes

The document is an Emergency Medical Release and Liability Waiver that requires participants, or their guardians if under 18, to provide personal and emergency contact information. It outlines the risks associated with participation in activities, including potential injury or death, and includes a release of liability for the Illinois Youth Soccer Association and associated personnel. Participants must acknowledge understanding of these risks, consent to medical treatment if necessary, and agree to indemnify the organization against claims related to participation.

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Click ‘Get Form’ to open the iysa medical waiver in the editor.
Begin by entering the participant’s name and birthdate at the top of the form. This information is crucial for identifying the individual involved.
Fill in the street address, city, and zip code to provide a complete contact address for emergencies.
In the Emergency Information section, input both parents' names along with their home and cell/business phone numbers. This ensures that you can be reached quickly if needed.
List any allergies or other medical conditions that may affect treatment in an emergency. This information is vital for medical personnel.
Provide your physician's contact details and insurance information, including policy holder's name and policy number, to facilitate quick access to medical care if necessary.
Review the authorization statement carefully before signing. Ensure all fields are completed accurately to avoid any issues during participation.

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Versions	Form popularity	Fillable & printable
2022	4.7 Satisfied (28 Votes)
2020	4.6 Satisfied (35 Votes)
2006	4.6 Satisfied (47 Votes)

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