Join the winning team and unlock your full potential by registering for the Pegasus AAU Girls' Basketball Team today – where every player is empowered to soar to new heights! Basic Information Name * First Name Last Name Date of Birth * MM DD YYYY Grade Level * GPA School Name * Parent / Guardian Information Parent / Guardian #1 Name * First Name Last Name Address * Phone * (###) ### #### Parent / Guardian #2 Name First Name Last Name Address Phone (###) ### #### Medical Information Any Allergies? Conditions Requiring Special Consideration Medication Currently Taken Medical Needs EpiPen? * Yes No Inhaler? * Yes No Health Insurance Information Company Name Policy # Group # Parent / Guardian Name * Date * MM DD YYYY Student's Physician Physician Phone # (###) ### #### Student's Dentist Dentist Phone # (###) ### #### Parent / Guardian Authorization * I authorize the release of my child’s medical information and give permission for medical treatment in case of emergency. I accept full responsibility for any injury sustained by my child resulting from training, competitive play, or travel. I grant permission for my daughter to participate in the basketball program. Thank you!
