2016-2017 Advanced Band Information Sheet
Student Name: (First)______
(Last)______
Home Phone Number: ______-______-______
Student Cell: ______-______-______
Student E-mail:______
Mailing Address:______
Zip Code:______
Mother’s Name:______
Mother’s Cell:______- ______- ______
Mother’s E-mail:______
Father’s Name:______
Father’s Cell: ______- ______- ______
Father’s E-mail:______
Do you have any special dietary needs? (i.e. vegetarian or allergic to peanuts)
______
Do you use an inhaler?
______
Do you carry an Epi-pen for allergies?
______
Is there anything else I need to be aware of before I take you on school field trips?
______
2016-2017 Beginner Band Information Sheet
Student Name: (First)______
(Last)______
Home Phone Number: ______-______-______
Student Cell: ______-______-______
Student E-mail:______
Mailing Address:______
Zip Code:______
Mother’s Name:______
Mother’s Cell:______- ______- ______
Mother’s E-mail:______
Father’s Name:______
Father’s Cell: ______- ______- ______
Father’s E-mail:______
Do you have any sort of musical experience? If yes, please explain:
______
Please list your top three instrument choices:If we already placed you on an instrument, what did we decide?
1.______
2.______
3.______
Please know that ideally we would love for everyone to play their top choice, but sometimes there are circumstances that prevent that (the way your teeth or lips are shaped, etc.). We want to put you on the instrument that we feel that you would be most successful. If the class for your top choice is full, we would LOVE to help you find an instrument that you will enjoy. Band is a great experience, and we would hate for you to not join because you think you would have preferred something else.
Parent Volunteer Form
Parent Name:______
Student Name:______
Phone Number:______
Can I text you?______
E-Mail Address:______
I can volunteer in the following ways: (Circle all that apply)
Providing Bottled Water
Providing Nut-Free Snacks
Bus Chaperone for in town events such as football games or 6th Grade Marching Fest
All-City Tryouts (November)
Solo Contest (February)
Spring Trip (May)
Picking up pre-ordered pizza
Are you a nurse or do you have any medical training? ______
Are you a notary public?
______
Any additional comments:
______
MEDICAL AUTHORIZATION
STATE OF TEXAS§
COUNTY OF MIDLAND§
That I, ______, am the parent or guardian of ______, who is a student at Abell Junior High School. I hereby give my consent to Megan Rose and Taryn Albin to authorize any doctor or hospital to administer medical attention to my child while he/she is on a school sponsored trip. I hereby hold Midland Independent School District harmless of authorizing such treatment.
WITNESS BY MY HAND this ______day of ______, 2016.
______
Parent or Guardian Signature
______
STATE OF TEXAS§
COUNTY OF MIDLAND§
This instrument was acknowledged before me on ______
By ______.
______
Notary Public Signature