FORM #R002 | PLAYER INFORMATION, MEDICAL TREATMENT AUTHORIZATION, LIABILITY WAIVER/RELEASE AND CONSENT FORM

The parent/guardian (in the case of a minor player) or adult player is to complete this form as part of the US Club Soccer player registration process.

For the 2022-23 and 2023-24 registration years, the previous version of this form will continue to be accepted if it was previously completed (and still valid) or already in use with a member org’s internal registration process. In all other situations, this new version should be used. In the future, it is anticipated that completion of Form #R002 will be required on an annual basis.

This form is to be retained by the US Club Soccer member organization for at least five (5) years or until the player’s 18th birthday, whichever occurs last, and be provided to US Club Soccer upon request.