Intramural Basketball: Grades 4 and 5
 We will be offering intramural basketball after school from 3:45 pm until 4:45 pm.  This online form will serve as the Permission Slip.   In addition, please complete the “Non-Athletic Participation Fee Payment Form.”  This is the correct form even though it is titled "non-athletic". Please complete and sign the Non-Athletic Participation Fee payment form along with a $25 check made payable to “NASD/HES” and return to your child's HR teacher by Wednesday, November 1.  

We have established pick up procedures for students in order to maintain a safe environment.  Doors will be locked, so parents will not be permitted to enter the building. To ensure a smooth dismissal, please arrive at the SIDE GYM DOOR at Hosack by 4:45 pm and form a line going around the back loop. When picking up your child, please bring your walker number that was given to you at the beginning of the year. If someone else is picking up your child, please give your number to that person. We ask that you please stay in your car while waiting for dismissal.  Students will wait in the gym when we finish our games. I will send your child to meet you when your child sees his/her number in the window of your car. Students will not be permitted to leave early.  A NOTE MUST BE SENT IN IF YOUR CHILD IS NOT ATTENDING A SESSION.  

Students are required to wear tennis shoes in order to participate.  Basketball will take place in the gym.  The program will take place on the dates listed below.  The days in which your child participates, will depend upon how many students sign up and the number of teams formed.  Most likely, your child will get to attend each day. This information will be provided on my website after registration ends.  CHECK MY WEBSITE (https://sites.google.com/northallegheny.org/mrkremmelswebsite/basketball) FOR ALL BASKETBALL UPDATES! Thank you for your understanding.

Tuesday                      Wednesday          
                                      11/8/23
11/14/23                     11/15/23
11/21/23
11/28/23                     11/29/23
12/5/23                       12/6/23
                                      12/13/23
12/19/23                     12/20/23

I am looking forward to a great time!  Make sure to fill in all of the questions below.

If you have any questions, please feel free to email me at akremmel@northallegheny.org.

Sincerely,

Anthony Kremmel

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Student Last Name *
Student First Name *
Homeroom *
Pick up Number *
PM Bus Number *
Parent Name *
Parent Phone Number *
Parent email *
Alternate Emergency Contact Name *
Alternate Emergency Contact Phone Number *
I have read and understand procedures at the top of this form, and I will print and return the “Non-Athletic Participation Fee Payment Form.” with the $25 check made payable to “NASD/HES” by 11/1/23.  If I pay online, I will print the receipt or email it to akremmel@northallegheny.org. *
Electronic Signature: I give my permission for my child to participate in basketball and realize adjustments may be made due to Covid-19. *
Comments or medical concerns (please put N/A if you do not have any): *
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