If, during a SLUA league/event sanctioned by USAU, an incident occurs that results in injury, league coordinators are responsible for completing and submitting this form. These forms must be signed by the participant involved in the incident (and their legal guardian if they are a minor). 

This form is required at SLUA events sanctioned by USAU to allow Minors to participate in the absence of a legal guardian. The legal guardian must complete this form to grant Chaperones authority to seek emergency medical attention for the participant, in the event the legal guardian cannot be contacted. Chaperones must be 21 and complete an NCSI background checkt hrough USAU. SLUA will reimburse chaperones for the cost of this background check. In order for minors to participate, a legal guardian or chaperone equipped with a signed medical authorization form must be present.