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Elkridge Landing MS 2018-19 After School Intramural Form
After School Intramurals run on Tuesdays and Thursdays from 2:50 to 4:00. There is a free after school bus (ride home make take 30 minutes or more) OR parents can pick children up in the back teacher parking lot at 4. If a parent is not there by the time the bus departs, students will be placed on the bus.
Email address *
Student Name *
Student Grade *
Please choose the intramural(s) your son/daughter is interested in: *
Parent/Guardian Name *
Address (if student will be riding after school bus)
Phone number *
Second phone number
Name of emergency contact *
Phone number of emergency contact *
Transportation *
List any health concerns
List any medications your child takes
I understand that there are inherent risks of injury or harm in any physical activity and in granting permission for my child to participate in this activity I am assuming those risks on their behalf. *Typing your name is the electronic signature *
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