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NCYSA Medical Consent/Waiver of Liability and Release 2014-2025 free printable template

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NORTH CAROLINA Medical Consent / Waiver of Liability and Release To be given to your local association 20 NCYSA NCYSA Policy Excess policy to any valid and collectible insurance. If there is no primary insurance on insurance on a player this policy is primary after the deductible. PO Box 18229 Greensboro NC 27419 336. 856. 7529 Wesley Chapel - Weddington Athletic Association Player First Name M Initial Last Name AS APPEARS ON BIRTH CERTIFICATE Full Association Name Academy Challenge Birth...
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How to fill out NCYSA Medical Consent/Waiver of Liability and Release

01
Download the NCYSA Medical Consent/Waiver of Liability and Release form from the official NCYSA website.
02
Read the instructions carefully before starting to fill out the form.
03
Fill in the participant's name, date of birth, and other personal information in the designated fields.
04
Provide the name and contact information of the parent or guardian if the participant is a minor.
05
Indicate any medical conditions or allergies the participant has in the appropriate section.
06
Sign and date the form to indicate consent and acceptance of the waiver.
07
Ensure all required fields are completed before submitting the form.

Who needs NCYSA Medical Consent/Waiver of Liability and Release?

01
All participants, including players and coaches, who are involved in NCYSA activities need to complete the Medical Consent/Waiver of Liability and Release form.
02
Parents or guardians must complete the form on behalf of minors.
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The NCYSA Medical Consent/Waiver of Liability and Release is a legal document that grants permission for medical treatment for a minor and also releases the North Carolina Youth Soccer Association (NCYSA) from liability in case of injuries or accidents during participation in soccer activities.
It is required for all participants under the age of 18 in NCYSA programs to file the NCYSA Medical Consent/Waiver of Liability and Release, typically completed by a parent or guardian.
To fill out the NCYSA Medical Consent/Waiver of Liability and Release, ensure to provide accurate personal information for the minor, including name, date of birth, medical history, emergency contact details, and signatures from the parent or guardian.
The purpose of the NCYSA Medical Consent/Waiver of Liability and Release is to ensure that medical decisions can be made efficiently in case of emergencies and to protect the association from legal claims related to injuries that may occur during soccer activities.
The NCYSA Medical Consent/Waiver of Liability and Release must include the minor's personal information, emergency contacts, medical conditions, medications, allergies, and the parent or guardian's signature.
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