Contact Coach Jeff Brown for information or questions at:
(626) 357- 6977
jjosephbrown
@yahoo.com

Wilson Middle School
300 Madre St
Pasadena, CA 91107
(cross street Del Mar)

Click on map

APPLICATION
Boys and Girls age 5 to 15 are encouraged to apply with a fee of $50. Please download and print an application from the link below, or contact Coach Jeff Brown for information:

Pasadena YES Sports Club Registration

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BASKETBALL REGISTRATION

Child's Name __________________________________________________ Male Female

Address ______________________________________________________________________

City _______________________________________________________ Zip _______________

Date of Birth ______________ Age ______ Grade/School _____________________________

Home Phone (     ) ___________________ Emergency Phone (     ) ____________________

Parent's Name __________________________________ Work phone (     ) _____________

Cell Phone(     ) ____________________ E-mail Address _________________________________


Assumption of Risk, Release and Indemnity Agreement

I confirm that my child ____________________________ is in good physical condition and that I understand the nature of the activity in which he/she will participate. In consideration of my acceptance into this Program, I hereby assume all responsibility for any and all personal injuries, including death and property damage, which he/she may suffer during or as a result of his/her participation in this Program. Further, for my child, my child's personal representative, heirs and next of kin, I release and agree to indemnify the YES Sports Club, Wilson Middle School, Pasadena Unified School District, the Boy's & Girl's Club, the Coaches, Assistant Coaches, Team Parents and anyone who is associated with this Program from any loss, claim, liabilities or damage arising out of my child's participation in this Program. I have read and understand and now sign this Assumption of Risk, Release and Indemnity Agreement.


___________________________________                                             ________________
          Parent/Guardian's Signature                                                                 Date Signed

Make Check Payable to:
YES

ATTIRE / EQUIPMENT
Shorts, sweat pants or running pants, tee shirt and sneakers are required. Team shirts will be provided for each participant.