EmailMe Form - OSA Safe Soccer Certification Form

Recreational Leagues/Programs Uploading Data into Demosphere

This form is to certify that our league/program is accepting the responsibility to distribute and collect the required OSA and state/federal requirements. We further certify that we will be able to provide signed copies if requested.

Seasonal Year *

Member League/Program Name *

Individual Submitting Form *

Role in the League/Program *

Submitter's Email *

Confirm Email

Submitter's Phone *

### - ### - ####

OSA Required Forms *

	Certify
All required Adult Participants have completed the OSA Safe Soccer (risk) requirements through Player's Health for the seasonal year
Every parent/guardian in the organization has completed the OSA Player Registration Form
Every parent/guardian in the organization has received a copy of the Ohio Department of Heath Concussion Information Sheet
Every parent/guardian and player have watched the required Lindsay's Law video
Every parent/guardian and player have submitted a signed copy of the Lindsay's Law Signature Form

Signature *

Clear

By submitting this form, I confirm that I have the authority to do so on behalf of our league/program.

Date *

MM / DD / YYYY