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Salem Soccer Association Inc Salem, Illinois

Salem Soccer Association Inc Salem, Illinois

Medical Forms

The IYSA requires us to have a Medical Release/Liability Waiver and Organization Communicable Disease Waiver on file for all of our players. One form per school year is acceptable as long as information is accurate. For Fall Soccer new forms must be turned in. This form is important for the coach to have to be able to care for your child in a medical emergency. Please provide a copy of your insurance and fill in account numbers on the form. Questions? Email us at [email protected]
The below link needs to be filled out prior to your player playing. Players MUST have a medical release form on file with their coaching staff before they can practice or participate in games.

Medical Release Form- IYSA

Contact us

Salem Soccer Association Inc.

 1640 N Broadway
Salem, Illinois 62881
Email: [email protected]
Phone: 618-830-0688

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