Registration - Package 2015
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Registration
Transcript of Registration - Package 2015
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2015-2016 REGISTRATION
James Logan High School Band & Color Guard
Instructions for completing registration forms:
1. FILL OUT these form online. 2. PRINT the completed forms and SUBMIT the forms online. Use the Submit and Print button at the bottom of each section. 3. Parent SIGNS the bottom of Medication Release and Medical Information pages. Two signatures for every student. 4. BRING all completed and signed printouts to registration.
FAMILY CONTACT INFORMATION Please fill out the important contact information below. The band boosters will be sending out periodic reminders of upcoming events and other important information. Only one Family Contact Information Sheet needs
to be filled out per family.
STUDENT INFO
Student 1:
First Name: ________________________________ Last Name: _______________________________Cell #:_____________________
Grade:______ ID#:_______________ Email Address: _________________________________________________________________
Guard Band Instrument:__________________________ T-Shirt Size: Small Medium Large XL XXL Student 2:
First Name: ________________________________ Last Name: _______________________________Cell #:_____________________
Grade:______ ID#:_______________ Email Address: _________________________________________________________________
Guard Band Instrument:__________________________ T-Shirt Size: Small Medium Large XL XXL Student 3:
First Name: ________________________________ Last Name: _______________________________Cell #:_____________________
Grade:______ ID#:_______________ Email Address: _________________________________________________________________
Guard Band Instrument:__________________________ T-Shirt Size: Small Medium Large XL XXL
Home Address:____________________________________________________ City:________________________Zip:_______________
PARENT INFO
Parent/Guardian 1:
First Name: __________________________________________ Last Name: ________________________________________________
Home Phone: ________________________ Cell Phone: ___________________________ Email: _______________________________
Parent/Guardian 2:
First Name: __________________________________________ Last Name: ________________________________________________
Home Phone: ________________________ Cell Phone: ___________________________ Email: _______________________________
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CONTRIBUTIONS & PURCHASES James Logan High School Band & Color Guard
Last Name: ___________________________________________ First Name: ______________________________________________
Student 2: _______________________________________________
Student 3: ______________________________________________
Marching Season Fair Share Contribution
Band Member Full Year $850.00 Qty ____ Total: $ _____
Color Guard Member Full Year $1000.00 Qty ____ Total: $ _____
Installment Plan First Payment Band Member $300.00 Qty ____ Total: $ _____
Installment Plan First Payment Guard Member $450.00 Qty ____ Total: $ _____
Marching Attire Essentials for Band Members Only
Uniform Maintenance @$25 Qty ____ Total: $ _____
Marching Shoes @ $40 Pr Qty ____ Total: $ _____
Wrist Bands (Percussion Only) @ $5 Pr Qty ____ Total: $ _____
Gloves (Woodwinds/Brass Only) @ $5 Pr Qty ____ Total: $ _____
Subtotal: $______________
Last Name: ___________________________________________ First Name: _____________________________________________
Purchases for the Family (Students in the Marching Band and Color Guard will be given a show shirt and BBQ Dinner Ticket):
Extra Show T-Shirts @ $15 Ea. Size Small Qty ___ Medium Qty ___ Large Qty ___ XL Qty ___ XXL Qty___
Total: $_____
Last Name: ___________________________________________ First Name: _____________________________________________
BBQ Dinner Tickets @ $15 Ea Qty ____ Total: $ _____
Grand Total: $______________
Payment can be made by check or online through Paypal. If paying by Paypal, print the receipt and bring it to registration.
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JAMES LOGAN HIGH SCHOOL 2015 -2016 BAND & COLOR GUARD
PARENT VOLUNTEER FORM
Instructions for completing on a computer: 1. Fill out this form electronically using Adobe Acrobat Reader 2. Print and sign the completed form using the Print Button at the bottom of
the last page 3. Bring all completed forms to Registration
There is an ongoing need for volunteer support for a program as big as ours at Logan. The various groups perform and travel during the entire school year and sometimes during the summer as well. Your support is important and appreciated! Through volunteering, you will get to be a part of your child's exciting band experience and gain the opportunity to get to know your fellow Boosters while supporting the organization. We request all parents to volunteer at least 4 hours per child in Band or Color Guard. Student Name: ___________________________________ Grade:____ Guard Band
Student Name: ___________________________________ Grade:____ Guard Band
Student Name: ___________________________________ Grade:____ Guard Band
Parent / Guardian Name: ________________________________________________________
Phone Number: ________________ eMail: __________________________________
Parent / Guardian Name: ________________________________________________________
Phone Number: ________________ eMail: __________________________________
Please indicate which area(s) you are available to help with. Please select at least onedetails are available prior to the events.
Resource Team Sewing Uniform Crew
Levi's Stadium Events Pit Crew Food Crew
Chaperones Prop Building Photo/Video
Senior Recognition Chair Truck Driver (Class A) Help Where I'm Needed
* Please see the Committee Information section (next page) for details and points of contact
It is the parents who make this program possible. We can always use fresh opinions and ideas. Please join in, make some new friends, and have a lot of fun! If you have questions, please contact us.
Thank you!
Your Band and Color Guard (all volunteer) Booster Board
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COMMITTEE INFORMATION Resource Team The "RT" is responsible for planning and organizing fundraising events; works on public relations; encourages booster participation; and brainstorms new and exciting ideas for raising money. The RT meets on average once per month.
Resource Team Chair(s): The Board Levi Stadium Coordinator: Ivo Dutra Dining Night Coordinator: Open Chaperones Chaperones are needed for football games, and all travel. Chaperones are responsible for the safety and behavior of the students in their group.
Head Chaperone: Amber Borje Head Chaperone for Football Games: Open
Sewing/Props This committee generally works on everything having to do with our flags, props, and guard uniform adjustments. No sewing ability is required. Any help from cutting fabric, sewing flags, hemming guard uniforms, and ironing is needed. This group often meets on Saturday mornings and most of the sewing can be done at home.
Chair: Ana Maria Campos Prop Master: Ivo Dutra
Food Committee Food Committee is responsible for planning and providing all snacks, meals, and water for the students when they are at football games, and away at competitions. This committee is also responsible for planning, preparing and working the concessions at all Logan sponsored competitions.
Chair for Shows/Games: Open Chair for Snack Bar: Open
Uniforms This committee oversees the distribution of band uniforms. Measuring/fitting students, distributing uniforms, shakos, and ordering and distributing gloves and shoes.
Chair: Tomoko Yanagihara Assistant: Katie Do
Pit Crew This group helps move the pit equipment. This equipment is all of the large, stationary instruments on the field (marimbas, bass drums, sound carts, etc.). The Pit Crew is responsible for moving the equipment on and off the field during field shows and are very important in the timing of the show.
Pit Crew Lead: Ivo Dutra Photo/Video During the Marching season we will videotape each show for practice and then tape Championships for the final product. All of the videos will be combined into a Blu-ray and DVD! You must be willing to supply your own HIGH DEFINITION (1920x1080i) digital video camera and tripod, and arrive early at shows to get the right seat for your shots (either first or last rows), and supply your own
Lead: Open
Senior Class Celebration Coordinator Coordinates Senior parents in organizing the Senior Class celebration at Championships in November. Orders Senior t-shirts, arranges for cake, cider toast, set up/clean up of event.
Chair(s): Open
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STUDENT MEDICAL INFORMATION James Logan High School Band & Color Guard
First Name: _______________________________ Last Name: _______________________________ ID#:_____________________
Home Address:___________________________________________________ City:_______________________Zip:_______________
Home Phone: _________________________________________ Student Cell Phone: ________________________________________
PARENT/GUARDIAN INFORMATION
Parent/Guardian 1:
First Name: ____________________________________________ Last Name: ______________________________________________
Home Phone: _______________________ Cell Phone: _______________________ Email: ____________________________________
Parent/Guardian 2:
First Name: ____________________________________________ Last Name: ______________________________________________
Home Phone: _______________________ Cell Phone: _______________________ Email: ____________________________________
MEDICAL INSTRUCTIONS Please include special health considerations or other important information (attach a separate sheet of paper if needed).
Check box if NONE.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
INSURANCE COVERAGE
Medical Insurance Carrier:__________________________________ Dental Insurance Carrier: ___________________________________
Medical Group Number:____________________________________ Dental Group Number: ____________________________________
Physician Name:__________________________________________ Dentist Name: ___________________________________________
Physician Telephone:______________________________________ Dentist Telephone: ________________________________________
EMERGENCY CONTACTS In the event the parent/guardian cannot be contacted we may contact the following:
Emergency Contact 1:
First Name: _______________________________ Last Name: _______________________________ Relationship:__________________
Home Phone: ____________________________________________ Cell Phone: _____________________________________________
Emergency Contact 2:
First Name: _______________________________ Last Name: _______________________________ Relationship:__________________
Home Phone: ____________________________________________ Cell Phone: _____________________________________________
I give permission for the above named student to receive any necessary emergency medical treatment while traveling or participating
with the James Logan Band and Color Guard. To the best of my knowledge, my child has no medical problems that would prohibit my
child from participating fully in strenuous physical activity. I agree to assume all financial responsibility for any costs incurred.
Parent/Guardian Signature: ____________________________________________________ Date: _____________________________
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MEDICATION RELEASE AUTHORIZATION FORM James Logan High School Band & Color Guard
Occasionally students may ask the Head Chaperone of the James Logan Band and Color Guard for over-the-counter medication for minor
aches and pains. In order to dispense this medication to the student the parent/guardian must give authorization to do so.
Student First Name: __________________________________________ Last Name: _________________________________________
ID#:_____________________ Grade: ___________ Guard Band
AUTHORIZATION TO ADMINISTER MEDICATION Check one
I hereby AUTHORIZE
DO NOT AUTHORIZE
the Head Chaperone of the James Logan Band and Color Guard to give my child the following over-the-counter medications
for headaches, cold and general ache and pains. Generic brands may be substituted.
Check any or all:
Tylenol Advil Motrin Aspirin Antacid
Benadryl Sudafed Cough Syrup Cough Drops Pepto-Bismol
PRESCRIPTION MEDICATIONS
Please indicate any medications your child is currently taking. Check Box if NONE.
Medication: __________________________________________ Reason for Medication: _______________________________________
Dosage: _____________________________________________ Time(s) to be dispensed:_______________________________________
Medication: __________________________________________ Reason for Medication: _______________________________________
Dosage: _____________________________________________ Time(s) to be dispensed:_______________________________________
ALLERGIES
Please indicate what your child is allergic to and the severity of an allergic reaction. Check box if NONE.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
DIET
Please check any that apply.
My child is: vegetarian
on a restricted diet for medical reasons: ____________________________________________________________
on a restricted diet for religious reasons: ___________________________________________________________
AUTHORIZATION
Parent/Guardian Name: ____________________________________________________________________________________________
Parent/Guardian Signature: ______________________________________________________ Date: ______________________________
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JAMES LOGAN HIGH SCHOOL BAND and COLOR GUARD
HANDBOOK ACKNOWLEDGMENT FORM
Instructions for completing on a computer: 1. Fill out this form electronically using Adobe Acrobat Reader 2. Print the completed form using the Print button at the top of the first page. Sign all forms.3. Bring all completed forms to Registration
I have received and read the guidelines that are set forth in the James Logan Band and Color Guard Handbook.
I agree to abide by these guidelines and understand that failure to do so may result in my removal from the band and color guard program at any time.
STUDENTS NAME:
STUDENTS ID:
Students Signature Parents Signature
Date Date
Please bring to Marching Registration. (If late return to a Board member or Band Director or mail to James Logan Band & Color Guard, P.O. Box 924, Union City, CA 94587.)
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STUDENT MEDICAL INFORMATION James Logan High School Band & Color Guard
First Name: _______________________________ Last Name: _______________________________ ID#:_____________________
Home Address:___________________________________________________ City:_______________________Zip:_______________
Home Phone: _________________________________________ Student Cell Phone: ________________________________________
PARENT/GUARDIAN INFORMATION
Parent/Guardian 1:
First Name: ____________________________________________ Last Name: ______________________________________________
Home Phone: _______________________ Cell Phone: _______________________ Email: ____________________________________
Parent/Guardian 2:
First Name: ____________________________________________ Last Name: ______________________________________________
Home Phone: _______________________ Cell Phone: _______________________ Email: ____________________________________
MEDICAL INSTRUCTIONS Please include special health considerations or other important information (attach a separate sheet of paper if needed).
Check box if NONE.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
INSURANCE COVERAGE
Medical Insurance Carrier:__________________________________ Dental Insurance Carrier: ___________________________________
Medical Group Number:____________________________________ Dental Group Number: ____________________________________
Physician Name:__________________________________________ Dentist Name: ___________________________________________
Physician Telephone:______________________________________ Dentist Telephone: ________________________________________
EMERGENCY CONTACTS In the event the parent/guardian cannot be contacted we may contact the following:
Emergency Contact 1:
First Name: _______________________________ Last Name: _______________________________ Relationship:__________________
Home Phone: ____________________________________________ Cell Phone: _____________________________________________
Emergency Contact 2:
First Name: _______________________________ Last Name: _______________________________ Relationship:__________________
Home Phone: ____________________________________________ Cell Phone: _____________________________________________
I give permission for the above named student to receive any necessary emergency medical treatment while traveling or participating
with the James Logan Band and Color Guard. To the best of my knowledge, my child has no medical problems that would prohibit my
child from participating fully in strenuous physical activity. I agree to assume all financial responsibility for any costs incurred.
Parent/Guardian Signature: ____________________________________________________ Date: _____________________________
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MEDICATION RELEASE AUTHORIZATION FORM James Logan High School Band & Color Guard
Occasionally students may ask the Head Chaperone of the James Logan Band and Color Guard for over-the-counter medication for minor
aches and pains. In order to dispense this medication to the student the parent/guardian must give authorization to do so.
Student First Name: __________________________________________ Last Name: _________________________________________
ID#:_____________________ Grade: ___________ Guard Band
AUTHORIZATION TO ADMINISTER MEDICATION Check one
I hereby AUTHORIZE
DO NOT AUTHORIZE
the Head Chaperone of the James Logan Band and Color Guard to give my child the following over-the-counter medications
for headaches, cold and general ache and pains. Generic brands may be substituted.
Check any or all:
Tylenol Advil Motrin Aspirin Antacid
Benadryl Sudafed Cough Syrup Cough Drops Pepto-Bismol
PRESCRIPTION MEDICATIONS
Please indicate any medications your child is currently taking. Check Box if NONE.
Medication: __________________________________________ Reason for Medication: _______________________________________
Dosage: _____________________________________________ Time(s) to be dispensed:_______________________________________
Medication: __________________________________________ Reason for Medication: _______________________________________
Dosage: _____________________________________________ Time(s) to be dispensed:_______________________________________
ALLERGIES
Please indicate what your child is allergic to and the severity of an allergic reaction. Check box if NONE.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
DIET
Please check any that apply.
My child is: vegetarian
on a restricted diet for medical reasons: ____________________________________________________________
on a restricted diet for religious reasons: ___________________________________________________________
AUTHORIZATION
Parent/Guardian Name: ____________________________________________________________________________________________
Parent/Guardian Signature: ______________________________________________________ Date: ______________________________
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JAMES LOGAN HIGH SCHOOL BAND and COLOR GUARD
HANDBOOK ACKNOWLEDGMENT FORM
Instructions for completing on a computer: 1. Fill out this form electronically using Adobe Acrobat Reader 2. Print the completed form using the Print button at the top of the first page. Sign all forms.3. Bring all completed forms to Registration
I have received and read the guidelines that are set forth in the James Logan Band and Color Guard Handbook.
I agree to abide by these guidelines and understand that failure to do so may result in my removal from the band and color guard program at any time.
STUDENTS NAME:
STUDENTS ID:
Students Signature Parents Signature
Date Date
Please bring to Marching Registration. (If late return to a Board member or Band Director or mail to James Logan Band & Color Guard, P.O. Box 924, Union City, CA 94587.)
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STUDENT MEDICAL INFORMATION James Logan High School Band & Color Guard
First Name: _______________________________ Last Name: _______________________________ ID#:_____________________
Home Address:___________________________________________________ City:_______________________Zip:_______________
Home Phone: _________________________________________ Student Cell Phone: ________________________________________
PARENT/GUARDIAN INFORMATION
Parent/Guardian 1:
First Name: ____________________________________________ Last Name: ______________________________________________
Home Phone: _______________________ Cell Phone: _______________________ Email: ____________________________________
Parent/Guardian 2:
First Name: ____________________________________________ Last Name: ______________________________________________
Home Phone: _______________________ Cell Phone: _______________________ Email: ____________________________________
MEDICAL INSTRUCTIONS Please include special health considerations or other important information (attach a separate sheet of paper if needed).
Check box if NONE.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
INSURANCE COVERAGE
Medical Insurance Carrier:__________________________________ Dental Insurance Carrier: ___________________________________
Medical Group Number:____________________________________ Dental Group Number: ____________________________________
Physician Name:__________________________________________ Dentist Name: ___________________________________________
Physician Telephone:______________________________________ Dentist Telephone: ________________________________________
EMERGENCY CONTACTS In the event the parent/guardian cannot be contacted we may contact the following:
Emergency Contact 1:
First Name: _______________________________ Last Name: _______________________________ Relationship:__________________
Home Phone: ____________________________________________ Cell Phone: _____________________________________________
Emergency Contact 2:
First Name: _______________________________ Last Name: _______________________________ Relationship:__________________
Home Phone: ____________________________________________ Cell Phone: _____________________________________________
I give permission for the above named student to receive any necessary emergency medical treatment while traveling or participating
with the James Logan Band and Color Guard. To the best of my knowledge, my child has no medical problems that would prohibit my
child from participating fully in strenuous physical activity. I agree to assume all financial responsibility for any costs incurred.
Parent/Guardian Signature: ____________________________________________________ Date: _____________________________
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MEDICATION RELEASE AUTHORIZATION FORM James Logan High School Band & Color Guard
Occasionally students may ask the Head Chaperone of the James Logan Band and Color Guard for over-the-counter medication for minor
aches and pains. In order to dispense this medication to the student the parent/guardian must give authorization to do so.
Student First Name: __________________________________________ Last Name: _________________________________________
ID#:_____________________ Grade: ___________ Guard Band
AUTHORIZATION TO ADMINISTER MEDICATION Check one
I hereby AUTHORIZE
DO NOT AUTHORIZE
the Head Chaperone of the James Logan Band and Color Guard to give my child the following over-the-counter medications
for headaches, cold and general ache and pains. Generic brands may be substituted.
Check any or all:
Tylenol Advil Motrin Aspirin Antacid
Benadryl Sudafed Cough Syrup Cough Drops Pepto-Bismol
PRESCRIPTION MEDICATIONS
Please indicate any medications your child is currently taking. Check Box if NONE.
Medication: __________________________________________ Reason for Medication: _______________________________________
Dosage: _____________________________________________ Time(s) to be dispensed:_______________________________________
Medication: __________________________________________ Reason for Medication: _______________________________________
Dosage: _____________________________________________ Time(s) to be dispensed:_______________________________________
ALLERGIES
Please indicate what your child is allergic to and the severity of an allergic reaction. Check box if NONE.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
DIET
Please check any that apply.
My child is: vegetarian
on a restricted diet for medical reasons: ____________________________________________________________
on a restricted diet for religious reasons: ___________________________________________________________
AUTHORIZATION
Parent/Guardian Name: ____________________________________________________________________________________________
Parent/Guardian Signature: ______________________________________________________ Date: ______________________________
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JAMES LOGAN HIGH SCHOOL BAND and COLOR GUARD
HANDBOOK ACKNOWLEDGMENT FORM
Instructions for completing on a computer: 1. Fill out this form electronically using Adobe Acrobat Reader 2. Print the completed form using the Print button at the top of the first page. Sign all forms.3. Bring all completed forms to Registration
I have received and read the guidelines that are set forth in the James Logan Band and Color Guard Handbook.
I agree to abide by these guidelines and understand that failure to do so may result in my removal from the band and color guard program at any time.
STUDENTS NAME:
STUDENTS ID:
Students Signature Parents Signature
Date Date
Please bring to Marching Registration. (If late return to a Board member or Band Director or mail to James Logan Band & Color Guard, P.O. Box 924, Union City, CA 94587.)
Student1_Email: Student1_Instrument: Student1_Unit:
Student1_TShirt:
Student2_Email: Student2_Instrument: Student2_Unit:
Student2_TShirt:
Student3_Email: Student3_Instrument: Student3_Unit:
Student3_TShirt:
Student1_Last:
Student1_First:
Student2_First:
Student3_First:
Qty_Band: Total_Band: Qty_Guard: Total_Guard: Qty_Band_Plan: Total_Band_Plan: Qty_Guard_Plan: Total_Guard_Plan: Qty_Uniforms: Total_Uniforms: Qty_Shoes: Total_Shoes: Qty_WristBands: Total_WristBands: Qty_Gloves: Total_Gloves: Student_Total: TShirt_Last: TShirt_First: Qty_TShirt_XXL: Total_TShirts: Dinner_Last: Dinner_First: Qty_TShirt_XL: Qty_TShirt_Large: Qty_TShirt_Medium: Qty_TShirt_Small: Qty_Dinner: Total_Dinner: Grand_Total: Student1_ID:
Home_Street:
Home_City:
Home_Zip:
Student1_Cell:
S1_Parent1_First: S1_Parent1_Last: S1_Parent1_Phone: S1_Parent1_Cell: S1_Parent1_Email: S1_Parent2_First: S1_Parent2_Last: S1_Parent2_Phone: S1_Parent2_Cell: S1_Parent2_Email: S1_Med_Dir_None: S1_Med_Dir_Detail1: S1_Med_Dir_Detail2: S1_Med_Dir_Detail3: S1_Med_Dir_Detail4: S1_Ins_Med_Carrier: S1_Ins_Den_Carrier: S1_Ins_Med_ID: S1_Ins_Den_ID: S1_Physician_Name: S1_Dentist_Name: S1_Physcian_Phone: S1_Dentist_Phone: S1_EContact1_First: S1_EContact1_Last: S1_EContact1_Relation: S1_EContact1_Phone: S1_EContact1_Cell: S1_EContact2_First: S1_EContact2_Last: S1_EContact2_Relation: S1_EContact2_Phone: S1_EContact2_Cell: Student1_Grade: --
S1_OTC_Auth:
S1_OTC_Tylenol: S1_OTC_Advil: S1_OTC_Motrin: S1_OTC_Aspirin: S1_OTC_Antacid: S1_OTC_Benadryl: S1_OTC_Sudafed: S1_OTC_CoughSyrup: S1_OTC_CoughDrops: S1_OTC_Pepto: S1_RX_None: S1_RX1_Name: S1_RX1_Reason: S1_RX1_Dose: S1_RX1_Time: S1_RX2_Name: S1_RX2_Reason: S1_RX2_Dose: S1_RX2_Time: S1_Allergy_None: S1_Allergy_Detail1: S1_Allergy_Detail2: S1_Diet_Vegetarian: S1_Diet_Medical: S1_Diet_Religious: S1_Diet_Detail1: S1_Diet_Detail2: Print_and_Sign: You must print and sign this form!
Stop_S1: If you are registering one student, stop here. Review your information above then click the yellow "Submit/Print" button to complete the process. All forms must be printed and signed by a parent! Bring completed, signed forms to Band Camp registration on Monday, 8/10.sign: Signature required. Print this form. Sign and return it on registration day.
Student2_Last:
Student2_ID:
Home_Phone:
Student2_Cell:
S2_Parent1_First: S2_Parent1_Last: S2_Parent1_Phone: S2_Parent1_Cell: S2_Parent1_Email: S2_Parent2_First: S2_Parent2_Last: S2_Parent2_Phone: S2_Parent2_Cell: S2_Parent2_Email: S2_Med_Dir_None: S2_Med_Dir_Detail1: S2_Med_Dir_Detail2: S2_Med_Dir_Detail3: S2_Med_Dir_Detail4: S2_Ins_Med_Carrier: S2_Ins_Den_Carrier: S2_Ins_Med_ID: S2_Ins_Den_ID: S2_Physician_Name: S2_Dentist_Name: S2_Physcian_Phone: S2_Dentist_Phone: S2_EContact1_First: S2_EContact1_Last: S2_EContact1_Relation: S2_EContact1_Phone: S2_EContact1_Cell: S2_EContact2_First: S2_EContact2_Last: S2_EContact2_Relation: S2_EContact2_Phone: S2_EContact2_Cell: Student2_Grade: --
S2_OTC_Auth:
S2_OTC_Tylenol: S2_OTC_Advil: S2_OTC_Motrin: S2_OTC_Aspirin: S2_OTC_Antacid: S2_OTC_Benadryl: S2_OTC_Sudafed: S2_OTC_CoughSyrup: S2_OTC_CoughDrops: S2_OTC_Pepto: S2_RX_None: S2_RX1_Name: S2_RX1_Reason: S2_RX1_Dose: S2_RX1_Time: S2_RX2_Name: S2_RX2_Reason: S2_RX2_Dose: S2_RX2_Time: S2_Allergy_None: S2_Allergy_Detail1: S2_Allergy_Detail2: S2_Diet_Vegetarian: S2_Diet_Medical: S2_Diet_Religious: S2_Diet_Detail1: S2_Diet_Detail2: Stop_S2: If you are registering two students, stop here. Review your information above then click the yellow "Submit/Print" button to complete the process. All forms must be printed and signed by a parent! Bring completed, signed forms to Band Camp registration on Monday, 8/10.Submit_S2_Text: Submit and Print(2 students)Submit_S2_Button: Student3_Last:
Student3_ID:
Student3_Cell:
S3_Parent1_First: S3_Parent1_Last: S3_Parent1_Phone: S3_Parent1_Cell: S3_Parent1_Email: S3_Parent2_First: S3_Parent2_Last: S3_Parent2_Phone: S3_Parent2_Cell: S3_Parent2_Email: S3_Med_Dir_None: S3_Med_Dir_Detail1: S3_Med_Dir_Detail2: S3_Med_Dir_Detail3: S3_Med_Dir_Detail4: S3_Ins_Med_Carrier: S3_Ins_Den_Carrier: S3_Ins_Med_ID: S3_Ins_Den_ID: S3_Physician_Name: S3_Dentist_Name: S3_Physcian_Phone: S3_Dentist_Phone: S3_EContact1_First: S3_EContact1_Last: S3_EContact1_Relation: S3_EContact1_Phone: S3_EContact1_Cell: S3_EContact2_First: S3_EContact2_Last: S3_EContact2_Relation: S3_EContact2_Phone: S3_EContact2_Cell: Student3_Grade: --
S3_OTC_Auth:
S3_OTC_Tylenol: S3_OTC_Advil: S3_OTC_Motrin: S3_OTC_Aspirin: S3_OTC_Antacid: S3_OTC_Benadryl: S3_OTC_Sudafed: S3_OTC_CoughSyrup: S3_OTC_CoughDrops: S3_OTC_Pepto: S3_RX_None: S3_RX1_Name: S3_RX1_Reason: S3_RX1_Dose: S3_RX1_Time: S3_RX2_Name: S3_RX2_Reason: S3_RX2_Dose: S3_RX2_Time: S3_Allergy_None: S3_Allergy_Detail1: S3_Allergy_Detail2: S3_Diet_Vegetarian: S3_Diet_Medical: S3_Diet_Religious: S3_Diet_Detail1: S3_Diet_Detail2: Stop_S3: If you are registering three students, stop here. Review your information above then click the yellow "Submit/Print" button to complete the process. All forms must be printed and signed by a parent! Bring completed, signed forms to Band Camp registration on Monday, 8/10.Submit_S3_Text: Submit and Print(3 students)Submit_S3_Button: Submit_S1_Text: Submit and Print(1 student)Submit_S1_Button: Print_Text: Print All FormsPrint_Button: Parent1_First:
Parent1_Last:
Parent1_Cell: Parent1_Email:
Parent2_First:
Parent2_Last:
Parent2_Cell: Parent2_Email:
Help_Resource Team: Help_Sewing: Help_Uniform Crew: Help_Levis Stadium Events: Help_Pit Crew: Help_Food Crew: Help_Chaperones: Help_Prop Building: Help_PhotoVideo: Help_Senior Recognition Chair: Help_Truck Driver Class A: Help_Where Im Needed: Parent2_Phone:
Parent1_Phone:
