21-22 DMS Intramural Permission Form

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Student Last, First *

Grade Level *

6th

7th

8th

Gender *

Male

Female

Parent Last, First *

Parent(s) Phone Number(s) *

Parent(s) Email(s) *

Please Check ALL sports your child has permission to participate if they desire *

Basketball

Ping Pong

Flag Football

Volleyball

Indoor Soccer

Outdoor Soccer

Kickball

Required

Students will be dropped off in the Car-rider lane near the gym at 7:45 am for morning sports. *

I understand that students will not be allowed to enter any building on campus prior to 7:45 am.

Students will be picked up in the Car-rider lane near the gym at 5:30 pm for afternoon sports. *

I understand that students have 1 warning, on the 2nd occurrence of a student being picked up after 5:30 from an afternoon sport will result in a dismissal from the after school portion of the program

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