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Westport Soccer Association PO BOS 2561, Westport, CT 06880, 2032219900 www.westportsoccer.org20232024 Medical Release & Authorization COVID-19 Waiver×Concussion Awareness×Code of Conduct CONSENT

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How to fill out wsa medical release form2023-24docx

01

Download the WSA Medical Release Form 2023-24docx from the official website or request a copy from the organization.

02

Fill in your personal information accurately, including full name, date of birth, address, contact number, and emergency contact details.

03

Provide details of any medical conditions or allergies you have, as well as any medications you are currently taking.

04

Sign and date the form to acknowledge that the information provided is true and accurate.

05

Make a copy of the completed form for your own records before submitting it to the relevant party.

Who needs wsa medical release form2023-24docx?

01

Anyone participating in a WSA event or activity in the year 2023-24 will need to fill out and submit the WSA Medical Release Form 2023-24docx.

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What is wsa medical release form2023-24docx?

The wsa medical release form2023-24docx is a document used to authorize the release of medical information for individuals participating in WSA activities in the 2023-24 season.

Who is required to file wsa medical release form2023-24docx?

All participants in WSA activities for the 2023-24 season are required to file the wsa medical release form2023-24docx, including athletes, coaches, volunteers, and staff.

How to fill out wsa medical release form2023-24docx?

To fill out the wsa medical release form2023-24docx, participants must provide their personal information, emergency contacts, medical history, allergies, medications, insurance information, and signed consent to release medical records.

What is the purpose of wsa medical release form2023-24docx?

The purpose of the wsa medical release form2023-24docx is to ensure that WSA has necessary medical information in case of emergencies during activities and to authorize the release of medical records if needed.

What information must be reported on wsa medical release form2023-24docx?

Participants must report their personal information, emergency contacts, medical history, allergies, medications, insurance information, and provide consent to release medical records.

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