
EPYSA Medical Release free printable template
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Eastern Pennsylvania Youth Soccer Association Two Village Road, Suite 3, Hershey, PA 19044 Phone (215) 657-7727 Fax (215) 657-7740 www.epysa.org Medical Release Player s Name: Date of Birth: / / Address:
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How to fill out epysa medical trial form

How to fill out EPYSA Medical Release
01
Obtain the EPYSA Medical Release form from the official EPYSA website or your local EPYSA representative.
02
Fill in the athlete's full name, date of birth, and contact information in the designated fields.
03
Provide the parent's or guardian's name, relationship to the athlete, and contact information.
04
List any known medical conditions, allergies, or medications the athlete is currently taking.
05
Sign and date the form to authorize medical treatment in case of an emergency.
06
Review the completed form for accuracy before submission.
Who needs EPYSA Medical Release?
01
Any athlete participating in EPYSA events or programs.
02
Parents or guardians of minor athletes must complete the form.
03
Coaches and team managers to ensure they have emergency contact information and medical history.
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What is EPYSA Medical Release?
EPYSA Medical Release is a document that grants permission for medical treatment of a minor in the absence of a parent or legal guardian, typically used in sports or recreation settings.
Who is required to file EPYSA Medical Release?
Parents or guardians of minor athletes participating in EPYSA events are required to file the EPYSA Medical Release.
How to fill out EPYSA Medical Release?
To fill out the EPYSA Medical Release, you need to provide the minor's personal information, emergency contact details, medical history, and consent for treatment.
What is the purpose of EPYSA Medical Release?
The purpose of EPYSA Medical Release is to ensure that medical personnel can provide necessary treatment to a minor in emergency situations when parents or guardians are not present.
What information must be reported on EPYSA Medical Release?
The information that must be reported on the EPYSA Medical Release includes the athlete's name, date of birth, medical conditions, allergies, medications, and emergency contact details.
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