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CALIFORNIA YOUTH SOCCER ASSOCIATION, INC. UNITED STATES YOUTH SOCCER A Division of United States Soccer Federation REFEREE PROGRAM REFEREE INFORMATION AND MEDICAL RELEASE FORM Referee s Name Date
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How to fill out referee medical release formdoc:

01
Obtain the referee medical release formdoc from the appropriate source, such as the sports organization or medical authority.
02
Begin by entering your personal information in the designated fields, including your full name, date of birth, and contact information.
03
Provide details about your existing medical conditions, if any, in the relevant section of the form. This helps referees and medical personnel be aware of any potential health concerns.
04
Fill in the emergency contact information, including the name, relationship, and phone number of the person to be notified in case of any medical emergency during the event or activity.
05
If necessary, provide details about any prescribed medications you are currently taking. Include the name, dosage, and frequency of each medication.
06
In the next section, sign and date the form to indicate that you have accurately provided the required information and that you authorize the release of medical information if needed.
07
Make a copy of the completed form for your personal records before submitting it to the appropriate organization or authority.

Who needs referee medical release formdoc:

01
Athletes participating in organized sports events or activities often require a referee medical release form. This ensures that referees or medical personnel are aware of any health concerns that may affect the athlete's participation or safety.
02
Sports organizations and event coordinators typically require participants to fill out this form as part of their registration or enrollment process.
03
Additionally, individuals participating in high-risk or physically demanding activities, such as marathons or adventure races, may also be required to complete a referee medical release form to ensure their well-being during the event.
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Referee medical release formdoc is a document that allows referees to release their medical information.
Referees are required to file referee medical release formdoc.
To fill out referee medical release formdoc, referees must provide their personal and medical information.
The purpose of referee medical release formdoc is to ensure that referees are medically cleared to officiate games.
Referees must report their medical history, current medications, and any existing medical conditions on referee medical release formdoc.
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