Town. Age Level. Team Name acknowledge that I, the Coach/ the Manager will
have in my/our possession, during all games at the Irondequoit Challenge ...
2014 Irondequoit Challenge Tournament Team Medical Release I _________________________Coach/Manager/Team Representative of Print Full Name
the __________________ _______ _________________________ Town
Age Level
Team Name
acknowledge that I, the Coach/ the Manager will have in my/our possession, during all games at the Irondequoit Challenge Soccer Tournament May 16-18, 2014, current medical release forms for each player on the team. I also acknowledge that each form must be signed by that player’s parent or legal guardian. Date:________________________________ Signature:____________________________ Please turn this form in at Tournament Registration
