Intramurals

 South Middle School Intramurals  

Quarter #2  Dates: October 20th-December 8th

No sessions 11/24 

Time:  2:45-3:45 ( Monday and Wednesday) 

Questions: jana.adamson@usd305.com or Jana Adamson (785) 309-3929

Cost:  Free (cost is the commitment)

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Please complete form and return to one of the following locations on or before Monday, October 18th:

Front Office or Mrs. Adamson (Room 313)

Participant’s Name:  _____________________________________________

Grade: ______

Parent Phone Number:________________________

(Number we can reach you at between 2:45pm – 3:45pm):____________________

Parent Email: _________________________________________________


Signature of Parent/Guardian_______________________________________

Date_____________________________

Waiver:  In consideration of my child’s participation in this activity, I hereby release and discharge South Middle School and all persons connected with the activity from any and all liability arising from illness, injury and damage my Child may suffer as a result of participation in the activity.  I also understand I am responsible for any cost incurred for medical services or illness, injuries and damages to my child while participating in the activity.


Quarter #2 Activity Choices

Directions:  Rank the following activities in order from 1-5 with 1 being the activity you would like to do the most. Depending on the number of students, we will do our best to get you into your top 3 choices.  You will hopefully get to do 3 activities for 2 weeks each.  You will receive a schedule prior to the start date of session #1 for the entire quarter.



______  Basketball @ Salina Fieldhouse

______  Volleyball @ Salina Fieldhouse

______  Soccer @ Salina Fieldhouse  

______  Dodgeball @ Salina Fieldhouse

______  Bowling @ The Alley

*Ride MUST be able to pick up at this location at 3:45pm



_______  Taekwondo @ SMS

_______  Soccer @ SMS

_______  Board games @ SMS

*Ride MUST be able to pick up at this location at 3:45pm


Name:  ________________________________________


Intramural Coordinator

Jana Adamson

jana.adamson@usd305.com

 (785)309-3929