Student Name *

Legal Name

First Name

Last Name

Student Date of Birth *

MM

DD

YYYY

Parent/Legal Guardian No. 1 Name *

First Name

Last Name

Emergency Phone Number #1 *

(###)

###

####

Parent/Legal Guardian No. 2 Name

Type N/A if this does not apply.

First Name

Last Name

Emergency Phone Number #2

(###)

###

####

Student Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Attendance is vital for the success of each student and the band as a whole. *

Place a check in the box confirming your attendance for the marching band pre-camp and band camp dates. It is imperative that students attend these rehearsals. If you have a conflict, communicate with Mr. Thomann as soon as possible.

I am attending the Huntington Woods 4th of July Parade

I am attending pre-camp July 29-Aug.2

I am attending band camp Aug. 5-9

Marching Band Expectations/Guidelines (Marching Band Packet Link Below) *

I acknowledge that all students must review the Band Camp Packet and sign the permission slip and submit that slip to Mr. Thomann before attending pre-camp and band camp.

I agree to follow the expectations and guidelines as outlined in the Berkley High School Marching Band packet.

BHS Medical Form *

I agree to complete the Medical Form.