The Washington Youth Soccer medical release form is a one-page PDF that every parent or guardian must sign before a child can practice or play in a sanctioned Washington Youth Soccer activity. The current revision (February 2026) is a free download from the Washington Youth Soccer resources page.1Washington Youth Soccer. Resources One signature does three jobs: it confirms your child has been cleared by a physician, it authorizes coaches and medical staff to seek emergency treatment, and it releases Washington Youth Soccer, its member clubs, and field owners from liability for injuries during normal soccer activities.2Washington Youth Soccer. Parent/Guardian Consent and Player Medical Release Form
Print it or open it on a device you can type into. Have your child’s insurance card and immunization record nearby before you start.
What Goes in Each Field
Player Information
Enter your child’s full legal name, date of birth, and home address with city, state, and zip. The form also asks for the date of your child’s most recent tetanus booster.2Washington Youth Soccer. Parent/Guardian Consent and Player Medical Release Form If you don’t have that date on hand, call your pediatrician’s office rather than guessing.
Two Emergency Contacts
You need two emergency contacts, each with a home and work phone number.2Washington Youth Soccer. Parent/Guardian Consent and Player Medical Release Form These are the numbers a coach calls if your child is hurt and you can’t be reached, so pick people who actually answer the phone during practice and game hours.
Physician and Insurance
List your child’s primary care physician along with home and work phone numbers. Then fill in the health insurance company name and phone number, the policyholder’s name, the policy number, and the group number.2Washington Youth Soccer. Parent/Guardian Consent and Player Medical Release Form Copy every character directly from your insurance card. A single transposed digit in a policy number can turn an urgent-care visit into a billing problem.
Medical Conditions, Allergies, and Medications
The form requires written notice of “any specific issue, condition, or ailment” that your child has or that could affect participation.2Washington Youth Soccer. Parent/Guardian Consent and Player Medical Release Form Disclose asthma, severe allergies, seizure disorders, diabetes, or any regular medication. If your child carries an epinephrine auto-injector or a rescue inhaler, say so and note where it will be kept. Attach a second sheet if you run out of room.
What You Are Signing
The signature block combines three statements, and all of them bind you.
You confirm your child has had a physical examination and been cleared by a physician to play.2Washington Youth Soccer. Parent/Guardian Consent and Player Medical Release Form If a recent sports physical isn’t on file, book one before you sign.
You release and indemnify Washington Youth Soccer, its member organizations, sponsors, employees, volunteers, and field owners from claims arising out of your child’s participation in programs or transportation to and from those programs. In practical terms, you agree not to sue these parties over injuries sustained during normal soccer activities.2Washington Youth Soccer. Parent/Guardian Consent and Player Medical Release Form
You consent to an athletic trainer, physician, or dentist providing medical assistance or treatment to your child, and you accept financial responsibility for the reasonable cost of that care.2Washington Youth Soccer. Parent/Guardian Consent and Player Medical Release Form This advance authorization lets medical professionals act without delay when you aren’t on the sideline.3Washington State Legislature. RCW 7.70.065 – Informed Consent
Turning the Form In
Submission runs through your local club, not Washington Youth Soccer directly. Most clubs accept a scanned PDF or a clear phone photo uploaded to their registration portal. Some teams still prefer a physical copy, which the team manager stores in a binder that travels to every practice and game.
A registrar or team administrator will check that every field is filled in and the insurance information is readable. If anything is missing or hard to read, your child’s registration will stay flagged as incomplete until you send a corrected version. Don’t wait until tournament week to discover this. Upload as soon as registration opens, then message your team manager to confirm the form was accepted.
Tournaments and International Travel
Sanctioned tournaments require every team to bring a medical release for each rostered player. The host reviews the forms at check-in, and a team official has to keep them on hand at the field for the duration of the event.4Washington Youth Soccer. Sanctioned Tournament Application Packet A team missing even one player’s form can be held out of play until the paperwork turns up.
International travel has a higher bar. The hosting agreement for international games requires notarized medical authorizations for each player, presented to the host at registration and kept at the field.4Washington Youth Soccer. Sanctioned Tournament Application Packet A standard parent signature won’t satisfy that requirement, so plan a notary visit before the trip.
When Something Changes Mid-Season
Any change to the information on the form calls for a new submission. The common triggers are a new diagnosis (asthma, a food allergy, a heart condition), a change in medication, or a switch in health insurance. Outdated insurance details cause the worst problems, because an emergency room that can’t verify coverage may delay treatment or send you an unexpected bill.
Fill out a fresh form with the corrected information, sign it, and submit it through the same channel you used the first time. Tell your team manager or registrar you’ve uploaded a replacement so they can retire the old one. If the change involves emergency medication such as an EpiPen, tell the coaching staff in person as well so they know what to watch for and where the medication lives in your child’s bag.
The Concussion Form That Often Comes With It
Washington’s Zackery Lystedt Law requires a concussion and head injury information sheet to be signed by both the youth athlete and the parent or guardian each year before practice or competition begins.5Washington State Legislature. RCW 28A.600.190 The statute is directed at school districts working with the Washington Interscholastic Activities Association, but club soccer organizations generally follow the same protocol, so expect a separate concussion acknowledgment alongside the medical release at registration.
Under the law, any youth athlete suspected of a concussion during practice or a game must be removed from play immediately and cannot return until a licensed health care provider trained in concussion management evaluates the player and provides written clearance.5Washington State Legislature. RCW 28A.600.190 If your child is pulled for a possible head injury, the written clearance has to reach the team before your child steps back on the field.