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I, the parent/guardian of the registrant,
a minor, agree that I and the registrant will abide by the rules of
the USYSA, its affiliated organizations and sponsers. Recognizing the
possibility of physical injury associated with soccer and in consideration
for the USYSA accepting the registrant for its soccer programs and activities
(the "Programs"), hereby release, discharge and/or otherwise
indemnify the USYSA, its affiliated organizations and sponsers, their
employees and associated personnel, including the owners of fields and
facilities utilized for the registrant's participation in the programs
and/or being transported to or from the same, which transportation I
hereby authorize.
Name:_____________________________
Signature: _________________________
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Consent for Medical Treatment
(Minor)
As parent or legal guardian of the above-named player, I hereby give
my consent for emergency medical care prescribed by a duly licensed
Doctor of Medicine or Doctor of Dentistry. This care may be given
under whatever conditions are necessary to preserve life, limb, or
well-being of my dependent.
Signature:__________________________
Address: ___________________________
City ______________ State: ____ Zip:____
Home Phone #: ______________________
Bus. Phone #: _______________________
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