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Baker Intramural Permission Form Coed Basketball
  • Thank you for completing the Coed Basketball MS Intramural Permission form for your student to be able to participate in our Baker programs. 
  • Please continue to monitor communication from the school and sponsors of programs for opportunities, times, and attendance links. 
  • Each family will need to complete this permission form for each individual student. They may not attend until this form is filled out.
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Email *
Student First Name *
Student Last Name *
Student Grade *
Student Identification Number *
Student gender *
I give my student permission to participate in: *
Required
I understand that my student will be responsible for being prepared with appropriate clothing and materials in order to participate in the intramural activity selected. *
Yes, I understand and agree
No, I don't agree
Please select one
MCPS is required to report specific information regarding students to ensure that our programs are equitable and accessible to all students regardless of disability status, gender or English proficiency. Please check the boxes that pertain to your student. This information is held confidential. This data will be reported as part of the Fitness and Athletic Equity Act
What else should we know about your student to make sure that this intramural program is a positive experience?
Parent/Guardian First and Last Name *
Parent/Guardian email *
Parent/Guardian Emergency Phone *
In case of an emergency what is the preferred language of communication? *
Emergency Contact Name and relationship. *
Emergency Contact Phone *
Emergency Contact: What is the preferred language of communication? *
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