GMS Intramural Permission Form
Thank you for completing the 2022-23 MS Intramural Permission form for your student to be able to participate in Gaithersburg Middle School Intramural programs. Please continue to monitor communication from the school and sponsors of programs for opportunities and times. 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 in the  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. *
I understand that my student may be physically active during these intramural activities and give permission for my child to participate fully. *
I understand that some activities may encourage participation outdoors. If my student is participating in an outdoor activity I give permission for my student to participate fully. *
I understand that use of a face covering/mask is optional for participation. I have given my student guidance regarding COVID-19 mitigation.  *
My student has a 504 plan. *
My student has and IEP (Individualized Education Plan). *
My student receives EML services. *
What else should we know about your student to make sure that this intramural program a positive experience?
how will your student be getting home?  *
Required
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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