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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 you insurance and fill in account numbers on the form. Questions? Email us at [email protected]
                    Both of the below links need to be filled out prior to your player playing.
Please turn in completed forms to your coach or mail to Mark Ferguson or Salem Soccer at 1640 N Broadway, Salem IL 62881


Contact us

Salem Soccer Association Inc.

 1640 N Broadway
Salem, Illinois 62881
Email: [email protected]
Phone: 618-292-7295

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