The attached medical release form is for organizations to utilize in their local league play.

 It is not for tournament play as the online tournament affidavit already has an integrated medical release form.  As per the rulebook:

PONY Baseball and Softball requires parent / guardian of players on a team to sign the team’s printed copy of the online affidavit form. This document also doubles as the medical release form for all players listed on the affidavit. Players whose parent / guardian have not signed the document will not be able to participate in gameplay until the requirement is met.

The attached PDF is "form enabled" for convenience and legibility.