Website Manager

American Youth Soccer Organization Providing world class youth soccer programs that enrich children's lives.

Safety Documents


Safety Documents


AYSO Medical - General Release Form

Once the team coach has assumed charge of the children on his/her team, the coach remains responsible until a duly designated adult has taken charge of each child after a practice or game. No child shall be left unsupervised after a game or practice

AYSO does not encourage children to walk or ride a bicycle home or to a friend or relative’s house. However, we recognize that it may be necessary in some cases. When it is, coaches should secure a general release form from the parents/guardians to ensure their approval.

Parents need to provide the coach with a general release form. Parents print the form by signing into their AYSO214 account. Once the player is assigned to a team, next to their player's name they will see a link to "View/Print Form"

2018 Fall Soccer - > Boys Born In 2011 - > 316-TeamSmith - Visit Team PageView/Print Form 

Parents should select View Print Form and deliver a copy to the coach.

Incident Report Form

The AYSO Incident Report Form is used whenever there is a personal injury, damaged property, or threats of or actual physical violence surrounding an AYSO game, practice, event or property. The form should be prepared by the Coach, AYSO Official, or other AYSO Volunteer. The form may also be prepared by a member of the regional staff such as the Regional Safety Director, or by tournament or event staff members. Once the form is complete and signed, it needs to be forwarded to the AYSO Regional 214 Safety Director by emailing the Regional Safety Director. The Regional Safety Director will then file the form with AYSO National.

Incident Report Form with Instructions

AYSO Center for Disease Control (CDC) Concussion Information

In all youth sports, concussions are a growing concern. The following forms should be carried around by coaches. The last link is a video created by the CDC to train more people to understand the impact of concussions.

AYSO CDC Parent/Athlete Concussion Information Sheet
AYSO CDC Parent/Athlete Concussion Information Sheet (single page)

Participation Release Form

Whenever a player or youth volunteer has suffered an injury or illness that required the care of a physician or a visit to an emergency care facility, the AYSO Participation Release Form must be given to the parents or guardians. The participation release form must be completed in full and signed by the child’s parents or guardians before the player or youth volunteer will be allowed to participate further in the program.

This form protects not only AYSO, but more importantly, the participants. Too often participants are out playing again before they are physically ready. Players should not participate until they are ready to play again. This form should also be used in cases of major illness.

Directions for use:

  1. The form is only required when it is known that the player has had to seek emergency room treatment or a physician office visit to treat an injury or illness affecting the player's readiness to participate, or if a player has been removed from a game due to a suspected concussion.
  2. The form should eventually be sent to the Regional Safety Director for filing, but could be retained by the coach for a week or so in the event anyone might question the participation of the player subsequent to an illness or injury.

Participation Release Form

AYSO Severe Weather Play Policy and Guidelines

This policy specifies AYSO's position on play during severe weather.

AYSO Severe Weather Play Policy and Guidelines

Soccer Accident Insurance (SAI)

AYSO purchases Soccer Accident Insurance (SAI), which pays excess medical costs up to $50,000 maximum per accident to an insured person for accidental bodily injuries incurred as a direct result of participation in a covered activity subject to the policy terms and conditions. This is an Excess Accidental Medical Expense Benefit, and all eligible expenses will be reimbursed in excess of a primary policy or on a Usual and Customary basis. Download the SAI Brochure for more detailed explanation of the plan.

AYSO Soccer Accident Insurance and Forms

National Partners

Your Region 214 Quick Links

Contact Us

AYSO Region 214 South Pasadena and San Marino

PO Box 214 
South Pasadena, California 91030

Email Us: [email protected]
Copyright © 2019 Region 214  |  Privacy Statement |  Terms Of Use |  License Agreement |  Children's Privacy Policy  Login