OYSAN Player Registration Form

US Youth Soccer Player Membership Form

OHIO YOUTH SOCCER ASSOCIATION NORTH

WAIVER OF LIABILITY:

 By checking one of the boxes below, I the parent/guardian for the above child release, discharge and/or otherwise indemnify the organization/league/club for which I am registering the child to play, US Youth Soccer, the Ohio Youth Soccer Association North, its affiliated sponsors, employees and associated personnel, including the owners of fields and facilities utilized against any claim by or on behalf of the registrant as a result of his or her participation

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GENERAL CONSENT FOR MEDICAL TREATMENT:

 By checking one of the boxes below, I give my consent to have an athletic trainer, coach paramedic, and/or doctor of medicine or dentistry provide medical assistance and/or treatment.  I agree to be financially responsible for the reasonable cost of such assistance and/or treatment.  This consent does not apply to major surgery unless surgery must be performed to treat an emergency condition.  Attempts will be made to contact parents of players participating in the program based on information provided on this form.

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