Intramural Permission Form 
  • Thank you for completing the William H. Farquhar MS Intramural Permission form for your student to be able to participate in  William H. Farquhar  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.
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Email *
Student First Name *
Student Last Name *
Student Grade *
Student Identification Number *
Student gender *
I give permission for my child to participate  after school activity programs designated below. *
Required
I understand that my student will be responsible for being prepared with appropriate clothing and materials in order to participate in the intramural activities selected. *
Yes, I understand and agree
No, I don't agree
My student will be responsible for being prepared with appropriate clothing and materials in order to participate in the intramural activities selected.
My student may be physically active during these intramural activities and give permission for my child to participate fully.
My student can participate outdoors. If my student is participating in an outdoor activity I give permission for my student to participate fully.
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 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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