R002 Y Form PDF Details

Are you familiar with the R002 Y Form? If not, don't worry – you're not alone! The form is an important document that can be very confusing to fill out. It's also a requirement when applying for certain government benefits or services in Canada. In this post, we'll break down the basics of the form and explain what it is, why it's necessary, and how to best complete it so you can get your application approved quickly and without any complications.

QuestionAnswer
Form NameR002 Y Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesyouth soccer registration form, us soccer registration form, us club player registration, us club medical release form

Form Preview Example

This form should be submitted to your home team’s club.

YOUTH PLAYER REGISTRATION FORM

This form must be retained by the club for at least five (5) years or he player’s 18th birthday, whichever occurs last.

Club Name:

City:

State:

League Name:

 

 

 

 

 

I hereby consent to the above-named club registering me with US Club Soccer. I understand that I may be registered to only one US Club Soccer member club at any time. [Note: it will not be necessary to complete this form again as long as the player is with this club, which will hold this form unless requested by US Club Soccer.]

___________________________________

_____________

________________________________

_____________

Player’s Signature

Date

Parent/Guardian Signature

Date

 

 

 

 

PLAYER’S MEDICAL INFORMATION

Player’s Name:

 

Birth Date:

Gender:

 

Female

Male

 

 

 

 

 

 

 

 

 

Street Address:

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

State:

Zip :

Email Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent Name:

 

Home Phone:

(

)

Bus Phone:

(

)

 

 

 

 

 

 

 

 

 

 

Email Address:

 

Cell Phone:

(

)

Receive texts?

 

Yes

No

 

 

 

 

 

 

 

 

 

Parent Name:

 

Home Phone:

(

)

Bus Phone:

(

)

 

Email Address:

Cell Phone:

(

)

Receive texts?

Yes

No

In an emergency when parent/guardian cannot be reached, please contact the following:

Name:

Phone 1:

(

)

Phone 2:

(

)

 

 

 

 

 

 

 

Name:

Phone 1:

(

)

Phone 2:

(

)

 

 

 

 

 

 

 

Please list Allergies the player has:

 

 

 

 

 

 

 

 

 

 

 

 

 

Please list other medical conditions:

 

 

 

 

 

 

 

 

 

 

 

 

 

Physician

Phone 1

(

)

Phone 2

(

)

 

 

 

 

 

 

 

Medical/Hospital Insurance Company

 

 

 

Phone

(

)

 

 

 

 

 

 

 

Policy Holder’s Name

 

 

 

Policy Number

 

 

 

 

 

 

 

 

 

MEDICAL TREATMENT AUTHORIZATION AND LIABILITY WAIVER

I hereby give my consent to have an athletic trainer, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the applicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted. I recognize the possibility of physical injury associated with soccer, and hereby release, discharge, and otherwise indemnify the club, US Club Soccer, their sponsors, the USSF and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named above as a result of that player’s participation in US Club Soccer programs and/or being transported to or from the same, which transportation I hereby authorize.

Signature_____________________________________ Date ____________ Relation to player:

Father

Mother

Guardian

Form #R002-Y – 5/2012

How to Edit R002 Y Form Online for Free

Through the online PDF tool by FormsPal, it is possible to complete or change us soccer club registration form right here and now. Our team is continuously working to develop the editor and enable it to be much faster for clients with its many functions. Enjoy an ever-improving experience now! All it requires is a few easy steps:

Step 1: Open the PDF doc inside our editor by clicking the "Get Form Button" above on this page.

Step 2: Once you access the online editor, you'll notice the form ready to be filled out. Besides filling in different fields, you can also do some other actions with the form, specifically putting on custom textual content, modifying the initial text, adding illustrations or photos, affixing your signature to the document, and much more.

It is actually straightforward to finish the pdf using out helpful tutorial! Here is what you need to do:

1. It is very important fill out the us soccer club registration form correctly, therefore take care while working with the parts including all these blanks:

Stage number 1 in filling out us club player registration

2. When the first selection of fields is done, proceed to type in the applicable details in all these: Phone, Phone, Name Please list Allergies the, Please list other medical, MedicalHospital Insurance Company, Policy Holders Name, Phone, Phone, Phone, Policy Number, MEDICAL TREATMENT AUTHORIZATION, information provided herein, I hereby give my consent to have, I hereby authorize emergency, and transportation of.

us club player registration completion process detailed (stage 2)

People generally make some mistakes when completing Phone in this section. You should definitely review everything you enter here.

Step 3: Immediately after rereading the entries, click "Done" and you're good to go! After setting up a7-day free trial account here, you'll be able to download us soccer club registration form or email it right off. The document will also be accessible from your personal account menu with all of your modifications. At FormsPal.com, we endeavor to make sure your information is maintained protected.

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