ST PATRICKS FIGHTING IRISH

Player Information Sheet

Players Name:____________________________________________ Grade:_____

Birth Date:___/___/___ Address:__________________ City:_________________

Players Phone Number:______________________

Parent/ Guardians Name:_____________________

Parents/Guardians Phone Number:___________________________________

Allergies? Yes____ No_____ If yes, what allergies/ prescriptions?

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Any Previous Injuries?

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I, ___________________, give permission to Coach Barnes and the coaching staff, to

treat my child for any injuries as they deem most effective. I give full permission for my
child, __________________________, to participate in the Senior Basketball Program
for the 2017-18 season.