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Salem Soccer Association Inc Salem, Illinois

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Forms Information and Where to mail

The IYSA requires us to have a Medical Release/Liability 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? Call Mark at 292-7295.
                    This form is the Medical Release link under the Registration Tab.
PLease turn in completed forms to your coach or mail to Mark Ferguson or Salem Soccer at 1640 N Broadway, Salem IL 62881

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