Us Club Soccer Medical Insurance Form Pdf
To help create a safe environment for all players the da has implemented safety standards including the presence of a medically certified trainer at every game the recognize to recover program and safety guidelines all clubs are required to follow.
Us club soccer medical insurance form pdf. Northern illinois soccer league is adhering to the governor s office guidance specifying no interclub competition. Covenants to indemnify and not to sue illinois youth soccer association its directors officers employees coaches managers agents sponsors and. The development academy believes in player safety and reducing the amount of injuries soccer players sustain. Please copy both sides of your health insurance card and attach to this form parent guardian consent and medical release recognizing the possibility of injury or illness and in consideration for us youth soccer and members of us youth soccer accepting my son daughter as a player in the soccer programs and activities of us youth soccer.
Us youth soccer policy on players regarding rules. Are covered necessary medications medical appliances required for treatment coverage becomes primary when other insurance coverage is not available. Excess accident medical policy typical coverage includes. Established in 2004 us club soccer s id2 program sponsored by verizon provides an opportunity for the country s elite youth soccer players to be identified and developed and scouted for inclusion in u s.
Membership form updated 6 27 19 asa head injury concussion policy procedures. We work with an affiliated network of the industry s top insurers so we re able to find you the best possible combination of value and services. This form combines the player s medical treatment authorization liability waiver and a confirmation the player is registering with your club. Us youth soccer association bylaws.
Summaries of coverage are below and linked within this web page. This form is required and registrars may certify they are in possession of it when registering with us club soccer. Emergency medical release liability waiver. Now let us help you.
Coverage of medical expenses for injuries doctors office visits hospitalization therapy etc. Since 2006 velapoint agents have helped thousands of people navigate the complicated and constantly evolving insurance landscape. This form must be retained for at least five 5 years or until the player s 18th birthday whichever occurs last. Health insurance plans for everyone.
The insurance information on this website is a summary of the policy benefits terms and conditions and does not alter broaden or limit. Attach copy of your insurance card front and back to expedite medical treatment. As an essential convenience for clubs in recognition of pandemic related restrictions and enrollment team formation tuition collection uncertainty nisl has designed 2020 21 registration so clubs have player insurance and when needed official rosters for practices camps. Asa concussion return to play form.