OCYFL Rules
Orange County Youth Football League

Cornwall – Goshen- Highland – Highland Falls –Hyde Park - Kingston – Marlboro – Middletown – Minisink Valley – Monroe – Monticello – Newburgh – City of Newburgh – Pine Bush – Port Jervis – Saugerties - Valley Central – Wallkill – Warwick – Washingtonville

Medical Information Form

Town: _____________________________________     Division: _____________

All football players and cheerleaders need a note or this form filled out from their own doctor to participate in the program.

ORANGE COUNTY YOUTH FOOTBALL & CHEERLEADING LEAGUE RULE:
No child will be allowed to practice without this form completed or a note from a doctor giving your child permission to practice football or cheerleading.

**PLEASE LIST ANY ADDITIONAL ALLERGIES OR PHYSICAL CONCERNS THAT WE NEED TO KNOW ON THE BOTTOM OF THIS FORM


Player Name: ______________________________________________________________

Date of Birth: ______________________________________________________________

Address: ___________________________________________________________________

Telephone: _________________________________________________________________

TO BE COMPLETED BY PHYSICIAN

Name of Physician: _________________________________________ Phone Number: ___________________

Allergies: __________________________________________________________________________

Physical or emotional concerns: __________________________________________________

____________________________________________________________________________________


This child is in good health and may participate in football / cheerleading for the 2020 season.

Signature of Physician: ______________________________Date: _______________________

Physician Stamp:




Revised May 2022
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