Mahone Middle School Intramurals
2018 Spring Session
Student's First and Last Namem *
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Gender *
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Student's Grade Level *
Student's House Name
T-Shirt Size *
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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.
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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.
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Payment
Cash or check are accepted. Please make checks payable to: Mahone Middle School
Payment Method *
Check Number (if applicable)
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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.
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