Medical Waiver

 

Registration Step 1 - Medical Release and Liability Waiver

ALL PLAYERS THAT DID NOT PLAY FOR ALITHSA IN FALL 2007 ARE REQUIRED TO SUBMIT THE FORM ON THIS PAGE. YOUR CHILD WILL NOT BE ASSIGNED A TEAM UNTIL THIS FORM IS RECEIVED BY ALITHSA.

Registration Step 1 - REQUIRED Medical Release and Liability Waiver for new players

The following form is required by ALITHSA in order for your child to participate. Please download, print, and fill in all information. Be patient, the Medical Release form could take as long as two minutes on a dial-up connection.

To download PDF files, you will need the Adobe Acrobat Reader software installed on your computer. If you have the software, the forms will open automatically in your browser. If you need to download the free software, click the Adobe Acrobat button at the bottom of this page.

Required Medical Release and Liability Waiver - CLICK HERE to download

  • VERY IMPORTANT - Your child will NOT be assigned a team until the club receives this waiver. NO EXCEPTIONS!!!
  • This waiver must be filled out in duplicate, and one copy sent to the club no later than 2/10/08 in one of the following manners:

    1) Fax to 847-458-4691 (no fax cover sheet is necessary)
    2) Scan and email as an attachment to waiver@alithsa.org
    3) Mail to: ALITHSA, PO Box 365, Algonquin, IL 60102
  • The other copy is to be turned into your coach at your first practice.
  • Failure to return this waiver will not result in a refund.

Registration Step 2 - You must agree to the following:


  By checking this box on the left, I certify that I have read this page in it's entirety, printed out the required Medical Release and Liability Waiver and agree to return it in accordance with the requirements as outlined above. I also understand that there are NO REFUNDS after I complete the online registration process. I also acknowledge that all special requests are simply a "request", not a guarantee. With the exception of U6, all requests for specific days, times and locations for practices will NOT be honored.

If you are considering participating in both ALITHSA soccer and any other sport such as AAYO (baseball), football or hockey, be aware that you will experience many scheduling conflicts.


The above referenced box must be checked in order to continue.

If you need Acrobat Reader installed on your computer, click on this button: