Please Click Here if this student is NOT covered under health insurance at this time.

Pasadena Independent School District offers a Student Accident Insurance Policy for all Pasadena ISD athletes. This insurance policy is NOT a replacement of any other insurance policy. This insurance policy is available to all student athletes. It is offered to assist in the diagnoses and/or treatment of any athletic related injuries. Injuries that are not school related athletic activities will not be covered by this insurance. This insurance is secondary to the insurance policy that the parent/or guardian has on the student athlete. This insurance is not designed to cover all cost, but to aide in the total cost of medical treatment. It is the responsibility of the parent/guardian to request a claim form within 90 days of the injury, and to submit claim form to the insurance company. Further information about this supplemental insurance can be found through the athletic trainer’s office at their campus.
If you desire to purchase additional supplemental accident insurance for your student, further information can be found Here.

Athletic Code of Conduct

All Pasadena Independent School District athletes are subject to guidelines set forth in the Student Handbook Code of Conduct as approved by our Board of Education and Administrators. The handbook goes into great detail explaining P.I.S.D.’s policies concerning expectations of student conduct. Minor offenses, serious offenses, alternative education program offenses, expulsion offenses, teacher removal of students, suspensions, and miscellaneous offenses are all covered in the handbook. Consequences of violating school district policy are explained in the handbook. Any athlete violating these policies will be disciplined like all other students. In addition, he/she may be dismissed from the team or other privileges may be taken away at the discretion of the coach and administration.

Other Rules of Conduct for P.I.S.D. Athletes Code of Conduct

A student is not required to take part in athletics nor is it required for graduation. Participation in athletics is a privilege. Consequently, when high ideals and standards are violated, this privilege can be revoked. Pasadena Independent School District athletes will act with pride and dignity.

On the Field or Court – The athlete must never use profanity or resort to illegal tactics. He/she must learn that both winning and losing are part of the game and that you have to exhibit good sportsmanship and be a gracious winner. Fighting, temper fits, flagrant violations of rules, etc., will not be tolerated. Total respect for officials is an absolute must. Discussion of calls made by officials will be done by the coach. Any behavior contrary to the above mentioned or any other act which is not conducive to good sportsmanship may result in removal from the contest and possible expulsion from the team.

Training Rules – Physical conditioning is a part of all athletic programs. A well-conditioned athlete will be better able to take advantage of his/her athletic ability. Therefore, training and conditioning rules must be adhered to as set by the coach. The use of any tobacco product, alcoholic beverages, possession of, use of, or distribution of dangerous drugs or anabolic steroids is prohibited. This rule is addressed at length in the Student Handbook Code of Conduct with consequences listed. In addition, the athlete may be dismissed from the team.

Travel – Athletes are to dress neatly and be on time for departure as per instructions of coach. Instructions from the coach will also include the approximate time of return from all trips for the convenience of parents. It is the responsibility of the individual athlete to communicate these instructions to his/her parents. Parent/s must agree to allow Pasadena I.S.D. to provide transportation to/from athletic events by either district bus or district van.

Quitting the Team – An athlete who quits a sport after the first contest will not be allowed to start another sport until the season ends for the sport the athlete quits.

In the Classroom – Be on time and conduct yourself in a manner that will bring praise to you and your team. Call your coach if you are absent from school. All school rules and policies will be followed.

Equipment and Facilities – Proper care of equipment and facilities is a must. Equipment checked out to athletes will be returned at the end of the season or an explanation will be discussed with the coach. If an athlete deliberately abuses equipment of facilities, action will be taken accordingly.

Criminal Activity - Gang Affiliations - Gambling Stealing - Involvement in these types of activities will not be tolerated and will be dealt with accordingly. Theft from your teammates or classmates is not acceptable and will be dealt with severely. The student handbook goes into great detail concerning expectations in these areas.

Each head coach of a sport will make decisions concerning the discipline of an athlete.

If it is a severe penalty, he or she might consult with the campus athletic director, principal, and district athletic director.

I have been provided the UIL Parent Information Manual regarding health and safety issues and my responsibilities as a parent/guardian. I understand that failure to provide accurate and truthful information on UIL forms could subject the student in question to penalties determined by the UIL.

UIL Athletics Manuals

1. Acknowledgement of Rules

2. Concussion Acknowledgement Form

3. Parent/Student Steroid Agreement Form

4. Sudden Cardiac Arrest Awareness Form

I understand that failure to provide accurate and truthful information on UIL forms could subject the student in question to penalties determined by the UIL.

Our signatures indicate receipt, understanding, and acceptance of this entire document and sections as stated above. We also understand and accept that all information provided is confidential; however, pertinent information will be available for all coaches, school nurses, and administration to view.

to compete in University Interscholastic League approved sports and travel with the coach or other representative of the school on any trips.

It is understood that even though protective equipment is worn by the athlete whenever needed, the possibility of an accident still remains. Neither the University Interscholastic League nor the Pasadena Independent School District assumes any responsibility in case an accident occurs. The undersigned agrees to be responsible for the safe return of all athletic equipment issued by the school to the above named student.

If, in the judgment of any representative of the school, the above student should need immediate care and treatment as a result of any injury or sickness, I authorize the Pasadena Independent School District athletic staff as agent(s) for the undersigned to consent to such treatment as may be given to said student by any physician, athletic trainer, nurse, hospital, or school representative; and do hereby agree to indemnify and save harmless the school and any school representative from any claim by any person whomsoever on account of such care and treatment of said student.

Your signature gives authorization which is necessary for the district, its athletic trainers, coaches, and student insurance personnel to share information concerning medical diagnosis and treatment. This is to conform with Federal guidelines, ie. HIPAA and FERPA.

Pursuant to the Texas Uniform Electronic Transmissions Act, an electronic signature has the same legal effect as a manual or handwritten signature. An electronic signature will not be denied legal effect or enforceability solely because it is electronic, and any requirement for a signature is satisfied by an electronic signature. By submitting an electronic signature, the individual identified and providing the electronic signature herein verifies acknowledgement of the binding legal effect and enforceability of the electronic signature. By clicking the box beside "I agree", you agree that this is valid as your signature. You hereby swear that you are the above named student and that the information is accurate to the best of your knowledge.

Pursuant to the Texas Uniform Electronic Transmissions Act, an electronic signature has the same legal effect as a manual or handwritten signature. An electronic signature will not be denied legal effect or enforceability solely because it is electronic, and any requirement for a signature is satisfied by an electronic signature. By submitting an electronic signature, the individual identified and providing the electronic signature herein verifies acknowledgement of the binding legal effect and enforceability of the electronic signature. By clicking the box beside "I agree", you agree that this is valid as your signature. You hereby swear that you are the parent or legal guardian of the above named student and that the information is accurate to the best of your knowledge.