Sign In
Help Center
2026 Basketball Camp and Competition Nights
Back to Store
Registration
$50.00
*
Student's First Name
*
Student's Last Name
*
Parents Name
*
Parent's Email
*
Parent's Cell Phone
*
School attended 2025-2026
*
2025-2026 Grade
Gender
Male
Female
*
Allergies
*
Any medical history we should know
*
Do we have your permission to take your child to the nearest doctor or hospital should in our opinion the situation warrant this action?
Yes
No
*
The Doctor on call, or Doctor contacted, has my full permission to treat or render emergency care.
Yes
No
*
Who is your family doctor?
*
In case of an emergency, where may we reach him/her?
*
Please list name and phone number of nearest responsible party.
Please give two contacts
*
Please acknowledge and agree to the statement: I (we) recognize the possibility of physical injury associated with sports. I (we) release San Jacinto Intermediate and other parents, representatives, successors, Pasadena ISD and its employees from any and all liabilities, claims, damages, and expenses, whether know or unknown, sustained by the Player or by the undersigned which in any way arise out of, or are connected with or relate to the participation by the player in any activity organized by or in any way associated with San Jacinto Intermediate and Pasadena ISD. “Pasadena Independent School District does not carry insurance for Summer fitness/recreation programs. Parents will be responsible for any medical expenses incurred.”
I agree
Add to Cart
