Mahone Middle School Intramurals
2018 Spring Session
Student's First and Last Namem *
Your answer
Gender *
Student's Grade Level *
Student's House Name
T-Shirt Size *
Mother/Guardian's Name *
Your answer
Mother/Guardian's Phone Number
Your answer
Mother/Guardian's Email Address
Your answer
Father/Guardian's Name
Your answer
Father/Guardian's Phone Number
Your answer
Father/Guardian's Email Address
Your answer
Health Concerns
Please list any health concerns such as asthma, sore shoulder. etc.
Your answer
There are a number of different choices for intramural options. Please select one. *
Students have the option of playing either or both Basketball and Tennis. The cost for participation in the league will be $35. If the student choices to play more than one sport the cost does not double. It remains $35. This fee includes referee expenses, weekly games, as well as a team t-shirt/Basketball Jersey. Both cash and check are accepted. Please make checks payable to Mahone Middle School and hand into the office prior to playing.
Cash or check are accepted. Please make checks payable to: Mahone Middle School
Payment Method *
Check Number (if applicable)
Your answer
Game Schedule
Basketball will begin the week of February 12th.
Tennis will begin the week of March 12th.
A more detailed schedule will be released closer to the start of the spring intramurals season. 6th grade boys basketball will be on Mondays starting at 7:05 am til 8:05 am. 7th and 8th Grade Basketball will be on Tuesdays starting at 7:05 am til 8:05 am. Tennis will be on Wednesday starting at 7:05 am till 8:05 am. All grade level Girls Basketball will be on Thursdays from 7:05 am till 8:05 am.
Basketball Skill Level *
Tennis Skill Level *
Mother/Father/Guardian's Permission *
By submitting this form we/I the parent(s) or guardian(s) do hereby acknowledge that we/I fully understand the possibility of the risk of serious injury involved in athletic participation and do hereby grant our student permission to participate in intramural sports. We/I also agree to monitor our student athlete’s health and report any change of health conditions to the league advisor. We/I also grant the league advisor permission to take reasonable medical steps including the calling of an ambulance to convey him/her to a hospital in case of serious injury. Please check the following box for your approval.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms