BAKER MIDDLE SCHOOL

Club & Intramural Participation Fee Form

One form needed for each participating student in the Club / Intramural activity.

Student Namerequired

First Name

Last Name

Please select up to 14 choices

Parent/Guardian Information Section

Primary Parent/Guardian Namerequired

First Name

Last Name

Street Addressrequired

Email Address

Middle School Club/Intramural Participation Fee Acknowledgementrequired

I have reviewed this form and understand that the fee paid DOES NOT guarantee participation time or control over any conditions of the club. I also understand that paying the fee DOES NOT in any way alter Troy School District policies, code of conduct, building rules, selection processes, or individual club rules and regulations.

PLEASE NOTE: The Club / Intramural Participation Fee is paid through the SchoolPay link available on the Baker Clubs webpage.

Fee Information:

One-time non-refundable annual fee = $50.00.
Maximum fee per household = $100.00.

A student WILL NOT BE allowed to participate, or issued a uniform, unless all required fields on this form have been completed and participation fee paid.

Please list all students (other than the one named at the top of this form) in your household who are participating in a club or intramural activity below:

Other Student 1

First Name

Last Name

Other Student 2

First Name

Last Name

Other Student 3

First Name

Last Name

Other Student 4

First Name

Last Name

Parent/Guardian E-Signature

I, THE PARENT/GUARDIAN, agree and understand that by signing the Electronic Signature Acknowledgment and Participation Fee Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

Student's E-Signature

I, THE STUDENT, agree and understand that by signing the Electronic Signature Acknowledgment and Participation Fee Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

File Upload: Add your SchoolPay Receiptrequired

Attach up to 3 files with a maximum size of 20MB

No file chosen

Save receipt as an image or print to PDF, then upload.

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BAKER MIDDLE SCHOOL

Club & Intramural Participation Fee Form

Parent/Guardian Information Section

Fee Information:

Please list all students (other than the one named at the top of this form) in your household who are participating in a club or intramural activity below:

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