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AYSO Region 418 Chicago Lakefront

AYSO Participation (Return to Play) Release Form

When a player sustains an injury or a concussion is suspected, the coach will remove the player from further participation in practices or games. The coach will submit an Incident Report to the Regional Safety Director and the player may not participate in further practices or games until the parent/guardian has submitted the AYSO Participation (Return to Play) Release Form. This not only protects AYSO, but more importantly, the participants. Too often injured participants are out playing again before they are physically ready. Players should not participate until they are fit to play again. The form requires a parent or guardian signature in order to help ensure a player is well enough to return to participation.

- A Participation (Return to Play) Release Form must be signed by parent/guardian whenever there is an injury or illness requiring medical treatment including serious illnesses like hepatitis and pneumonia.
- A signed Participation (Return to Play) Release Form is required whenever a player is removed from play for a suspected concussion.

Click on the link below to download the form. Submit the completed form to the Region 418 Safety Director, Luke Perez, at [email protected] The Safety Director will then alert the coach that the player may return to play.

AYSO Participation (Return to Play) Release Form

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AYSO Region 418 - Chicago Lakefront

4507 N Ravenswood Ave, Suite 101
Chicago, Illinois 60640

Email Us: [email protected]
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