Dear Current GCHS Band Members and Incoming Freshman, It Is Hard

Dear Current GCHS Band Members and Incoming Freshman,

It is hard to believe that we are finishing up the current school year and quickly approaching summer. The GCHS Band had an incredible year and I am very excited to welcome you back as a veteran band student or as a new member of the Gulf Coast High School Shark Band for the 2016‐2017 school year. We will be traveling to Disney and Universal Studios this year with details to follow soon!

Incoming Freshman Band Parents, we will have a mandatory meeting for you and your incoming freshman band student on Monday, May 23rd at 7pm in the GCHS Auditorium. At this meeting we will give you all the pertinent information about the upcoming school year. At this meeting you may also turn in your band fee and all required forms for your student to participate with the GCHS Band. All incoming freshman band students and at least one parent must be at this meeting.

All Flagline/Dance Students and Parents, we will have a mandatory meeting on Tuesday, May 24th at 7pm in the GCHS Auditorium. At this meeting we will give you all the pertinent information about the upcoming school year. At this meeting you must also pay for your uniform, equipment, flag line/dance line fees as well as turn in all required forms for your student to participate in the GCHS Band. All flag line/dance line students and at least one parent must be at this meeting.

Band fees for incoming freshman and returning band members are $225. Incoming freshman band parents may pay this fee at the May 23rd meeting. Returning band members must pay this fee at uniform fitting.

Flag line/Dance line fees – Please refer to the handouts in this packet.

Charms – The second sheet in this packet talks about our Charms program. This band management software is used to communicate with all students and parents. In the near future each parent will also have access to their student’s band fee/payment information through Charms as well. Please take the time to sign on to your student’s Charms Account to update your information or create a new account if you do not currently have one.

Band Camp Schedule –The Band Camp schedule is attached, please read it carefully. This calendar is also on the band calendar linked to the band website.

Forms – Each student must have the following forms turned into the band office BEFORE they participate in any summer practice/band camp. We will be checking this on the first Tuesday of band camp. Any student who does not have all of their forms will be sent home. These forms are attached to this letter and are also available to be downloaded from our band website at: www.gchsharkband.com

1. Band/Flag/Dance Student Contract 2. Emergency Info Card 3. Participation Physical Evaluation (All students must have a current physical done with this form before they participate in any summer practice or band camp) 4. Consent and Release Liability Certificate 5. Consent and Release Form for Concussion and Heat Related Illness 6. Consent and Release Form for Sudden Cardiac Arrest and Concussion 7. Student Travel Authorization 8. Photo‐Video Media Release Form

We look forward to seeing everyone at our meetings in May and band camp in August, if you have any questions please don’t hesitate to contact me at any time.

Musically yours,

Justin Goff Austin Gomez Director of Bands Assistant Director of Bands Gulf Coast High School Gulf Coast High School [email protected] [email protected]

How to access parent/student information in Charms

 Log on to https://www.charmsoffice.com/charms/selfregister.asp?s=GCHSBand  Locate the “NEW Students Click Here!” section of the web page and click on the button  The first time you go here, enter your child’s ID NUMBER (this is your CCPS District ID) into the Student Area Password field. Complete all of the personal information as completely as possible. This information is how we will contact you. Please verify the following: o The address is completed correctly. When we create mailings we use this to create mailing labels. How you input this information (Punctuation, capitalization, etc.) is how the labels are printed. o The phone numbers have the area code. o The cell phone lists the carrier. In the case of an emergency this is vital to send a mass email/text message to all students and their parents (We have actually never used this, but we need to have it just in case). o The entering grade lists “9th grade” o The instrument/part should be your marching instrument.  Once complete you will be directed to add parents’ information. Again, it is important that this information is as accurate as possible. Please verify the following information is correct: o The address is completed correctly. When we create mailings we use this to create mailing labels. How you input this information (Punctuation, capitalization, etc.) is how the labels are printed. o The phone numbers have the area code. o The cell phone lists the carrier. In the case of an emergency this is vital to send a mass email/text message to all students and their parents (We have actually never used this, but we need to have it just in case). o Click the green “Update” button when complete to save the changes.  Once complete, click on the picture of the home (top, left corner) to see many of the items that we use to keep parent’s in the loop. o The Calendar will list events, rehearsals, and volunteer/RSVP opportunities. o Most importantly, the parent page assists both you and the teacher to communicate with each other. Stay up to date on what’s going on with your student!  You can also download the Charms App to your smartphone – search your App Store for “Charms Parent/Student Portal” (or “Charms Blue”). It’s the way to stay in touch on the go!

Gulf Coast High School Band Camp 2016 Monday, August 1st, 8:00am –4:00pm All Band Leadership

Tuesday, August 2nd – Friday, August 5th, 8:00am-4:00pm All GCHS Marching Band Members

Monday, August 8th – Thursday, August 11th, 8:00am-4:00pm All GCHS Marching Band Members

Friday, August 12th, 8:00am-12:00pm and 4:00pm-6:00pm All GCHS Marching Band Members

The GCHS Band Camp will be held at Gulf Coast High School, please make sure that all students bring the following:  Athletic clothing that covers shoulders and shorts  Bag lunch for both weeks of band camp (the students will have a one hour lunch break between Noon and 1:00pm, students MUST remain on campus during lunch)  Sneakers or athletic shoes  Jug of water  Instrument, reeds, valve oil, etc… (wind players only)  A hat and/or sun tan lotion (We will be outside for most of the time.)  A Great Attitude!

There is going to be a show for all friends and family on Friday, August 12th around 5:00pm in the football stadium (more details to follow, the schedule depends on the availability of the football stadium and weather). Please come out and see the GCHS Shark Marching Band in their first performance of the 2016-2017 school year!

Please check the school website at: www.gchsharkband.com for additional information concerning Band Camp.

2016-2017 Gulf Coast High School Band CONTRACT

I, the undersigned, do hereby agree to abide by the rules and policies of the GCHS Band handbook for the school year 2016-2017 to the best of my ability. I will: 1. Maintain a consistent standard of acceptable behavior at all times. 2. Always promote the image of the band and all of its members in a positive manner. This includes all forms of social media. 3. Promote goodwill and friendship throughout the entire band. 4. Maintain an attitude of total cooperation with the band officers, section leaders, band staff and parent volunteers. 5. Be enrolled in a band/flag/dance class during the school day. 6. Always strive for the best….never second best!

Violation of any of the handbook policies or procedures may result in the following: a) Demotion to a non-performing status within the band for an indefinite period of time. b) Failing grade in band for that semester. c) Notification to parents and school administration and a scheduled conference. d) Permanent removal of the individual from the band program.

By signing this contract, you indicate to the band director and school administration that you have read and understand thoroughly the policies and procedures contained in the GCHS Band handbook.

Student’s Signature Date

Parent/Guardian Signature Date

* * * Return this signed contract to the Band Office along with the other required forms before band camp starts.

GCHS Band Member Expenses 2016-2017 School Year

 $225 band fee (due at May meeting for incoming freshman and uniform fitting night for returning band members). This band fee will also include a subscription to Smart Music for your student for the entire school year. This Smart Music subscription is a computer based program which will help them practice their instrument at home as well as take weekly playing tests.

Make check to: GCHS Band Aid Club

 Black Marching Band Shoes – $30.00 (Pre-ordered at uniform fitting in August)  Black Gloves – $5.00 (Pre-ordered at uniform fitting in August)  All wind and percussion students are also required to purchase a concert dress uniform. See the attached sheet for more information. – This cost is $65 for women and can be pre-ordered at uniform fitting in August). Men will need to purchase a tuxedo.

Uniform Fitting Dates All students and a parent must attend uniform fitting. Only students who have been through this process will be permitted to perform on Friday, August 12th and 19th.

 Thursday, August 4th – 6pm-8pm – Juniors and Seniors Only  Saturday, August 6th 11am-3pm – All remaining students

GCHS Color Guard and Dance team have a different set of expenses. This list is only for the GCHS Band members.

GCHS Flag Line and Dance Line Expenses 2016-2017 School Year

 New Member Fees are $425. These include the following: o $135 Band Fee o $230 Uniform . Costume with Gloves - $170 . 2 pairs of tights - $20 . Jazz shoes - $40 o $20 Accessories . Hairpiece and ponytail - $20 o $40 Santa Dress

 Returning Member Fees are $215. These include the following: o $135 Band Fee o $60 Uniform . 2 pairs of tights - $20 . Jazz shoes - $40 o $20 Accessories . Hairpiece and ponytail - $20

Payments can be made by check, cash, or credit card. Payments are due on May 24, 2016. Make check to: GCHS Band Aid Club. Please include your student’s name on the check.

GCHS Concert Band Uniform Requirements 2016-2017 School Year

All students enrolled in band (winds and percussion) must own the required concert band uniform as explained below.

 Men: Black tuxedo. This should include: Black pants, black jacket, white tuxedo shirt, black dress socks, black dress shoes, and a black tie. Students may wear a combination of a black bow tie or black neck tie and a black vest or black cummberbund. Students are required to find and purchase this on their own.

 Women: Concert black dress. This dress must be ordered through the boosters. These dresses are ordered unhemmed. Alterations are the responsibility of the student (See Lynette for a list of places that will accommodate this). The cost is $65 and is the dress we use for all concert performances. All money for this must be submitted before September 1st in order to participate in PRISM in November. Please complete the back of this form when submitting payment.

Payments can be made by check, cash, or credit card. Payments are due on May 23, 2016. Make check to: GCHS Band Aid Club. Please include your student’s name on the check.

Student Name______

Student Size to be ordered: ______

Measured by: ______Self: ______

Check#______Cash______

Annual Student Emergency Information Card for School Year 2016-17 THIS CARD MUST BE COMPLETED BY PARENTS/GUARDIAN AND SIGNED EACH SCHOOL YEAR Please notify the school immediately if any of the following information changes during the year

School: Teacher: Student ID #: Grade:

Reviewed by: TERMS Updated (Date): ______

Parent/Guardian- Please complete all areas below (print), even if same as last year, and return. Student's Legal Name: Last First Middle

Also known as (alias): Last First Middle

Is your child covered by: __ Private health insurance __ Medicaid Sex Male  Female Date of Birth: Month/Day/Year _____/_____/______Healthy Kids/Kid Care __ No insurance Does student live with parent?  Both  Mother  Father If no, name/relationship of guardian: ______Court-ordered custody document provided?  Yes  No If yes, please provide a copy for our records Court ordered restraining order?  Yes  No If yes, please provide a copy for our records Student’s Home Address: Apt# Student’s Mailing Address if a P.O. Box :

City State Zip City State Zip

Is this a new address from last year?  Yes  No If yes, you must contact the school office Student Transportation: Walker Bus Car rider; with whom? Contact and Emergency Information (Attach additional page if necessary) Please specify if you wish for a particular parent/guardian to be contacted first Parent/Guardian Name (Please include address if Home Work Cell phone Authorized Legal different from student) Phone Phone or Pager Pickup Custody Mother/Guardian Name Address (If different) Yes No Yes No E-mail:     Father/Guardian Name Address (If different)

Yes No Yes No E-mail:     Other (Name/Relationship Address (If different) Yes No Yes No     If parent/guardian cannot be reached please notify the person(s) below in case of an emergency. Emergency Contact (Name/Relationship) Yes No Yes No     Emergency Contact (Name/Relationship) Yes No Yes No     Please provide names of other children attending Collier County Public Current District School Attending: Schools:

PLEASE COMPLETE IMPORTANT INFORMATION ON REVERSE SIDE THE COLLIER COUNTY PUBLIC SCHOOL SYSTEM IS AN EQUAL ACCESS / EQUAL OPPORTUNITY INSTITUTION FOR EDUCATION AND EMPLOYMENT. Rev. 2/15 Annual Student Emergency Information Card for School Year 2016-17 THIS CARD MUST BE COMPLETED BY PARENTS/GUARDIAN AND SIGNED EACH SCHOOL YEAR Please notify the school immediately if any of the following information changes during the year

Reviewed by: ______Date:______Actions: ______Student Health and Medical Information Name of Child’s Physician: Phone Number: Name of Child’s Dentist: Phone Number: Does your child have any health conditions that school staff members should be aware of?  No  Yes If yes, please briefly describe the condition and any assistance needed at school: ______

***You must contact the school nurse if the student has a health condition. *** Does your child have any allergies?  No  Yes - If yes, list ______Does the allergy require life-saving medication?  No  Yes – List medication needed: ______Does your child have any heart conditions?  No  Yes If yes, describe ______Does your child have asthma?  No  Yes Does your child need asthma medicine at school?  No  Yes If yes, list asthma medication needed at school: ______Does your child require medication at school on a regular basis?  No  Yes If yes, specify ______(A completed and signed Medication Authorization form must be submitted to the school before medication may be administered.) This form is available at: http://www.collierschools.com/parents/forms.asp

Section I. Notification of Health Services to be Provided: The District School Board of Collier County (CCPS) provides health services to students in partnership with: Florida Department of Health, Collier County, (FDOH), NCH Healthcare System, Inc. (NCH), the Ronald McDonald Care Mobile, Florida’s Vision Quest, (FVQ), University of Florida College of Dentistry, and Florida Heiken Children’s Vision Program (Heiken). The partners are required by law to maintain the privacy of your child’s protected health information. Immunization information required for school attendance may be shared between CCPS and FDOH. FDOH Collier will provide state-mandated vision, hearing, height and weight, and scoliosis screenings. Florida’s Vision Quest Inc. will provide vision screening for students at Title 1 schools. If a follow-up vision examination is needed and if your child is eligible, Heiken or Florida’s Vision Quest may provide this examination and glasses, if needed, free of charge. The results of these screenings will be shared with designated CCPS employees, contracted health care providers and partners. University of Florida College of Dentistry will provide dental screening of all students in grade 3. If I do not want my child to receive these services, I will notify the school in writing of the specific services that are being declined by September 4, 2016. For more information, visit the district website at: http://www.collierschools.com/parents/health.asp

Section II. Medicaid Notification and Consent: If my child is covered by Medicaid and receives services under an Individual Education Plan (IEP), information may be used by the District to bill Medicaid for the following: behavioral or health services (occupational, physical, speech-language therapy, nursing, and augmentative services) as established on the IEP. IEP services are provided at no cost, regardless of consent. Parental consent may be withdrawn at any time. Any billing authorization records disclosed are available upon request. If my child is covered by Medicaid and receives services under an IEP, I consent for the District to bill Medicaid for those services provided.

Section III. Parent/Guardian Consent: By my signature below I accept responsibility to notify my child’s school of any changes of my home address and/or phone number. I understand that EMS (911) will be called in the event of a serious accident or illness warranting evaluation and/or transport. I will assume responsibility for payment for EMS services. In case of an accident or illness for which immediate treatment is not needed, but my child is unable to remain in school, I request the school contact the parent(s)/guardian(s). If unable to reach a parent or guardian, I request that one of the person(s) listed on this card be contacted to pick up and/or care for my child.

Section IV. Parental Certification and Responsibilities: I certify that the above emergency and health information is true and accurate to the best of my knowledge. I understand and agree that if my child has a health condition that may require management while he/she is in school, it is my responsibility to inform the school principal and/or school nurse of the health condition(s) and discuss a plan of care. By signing this document, I understand and agree that information contained on this card, including phone number for follow-up of potential health conditions may be shared with appropriate school staff, District partners, District after-school programs, and health care professionals according to the Health Insurance Portability and Accountability Act (HIPAA). ______Print Name of Parent/Guardian Signature Relationship Date

PLEASE COMPLETE IMPORTANT INFORMATION ON REVERSE SIDE THE COLLIER COUNTY PUBLIC SCHOOL SYSTEM IS AN EQUAL ACCESS / EQUAL OPPORTUNITY INSTITUTION FOR EDUCATION AND EMPLOYMENT. Rev. 2/15 EL2

Florida High School Athletic Association Revised 05/14 Preparticipation Physical Evaluation (Page 1 of 3)

This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the evaluation as written on page 2. This form is non-transferable; a change of schools during the validity period of this form will require page 1 of this form to be re-submitted. Part 1. Student Information (to be completed by student or parent) Student’s Name: ______Sex: _____ Age: _____ Date of Birth: _____/ _____/ _____ School: ______Grade in School: _____ Sport(s): ______Home Address: ______Home Phone: ( _____) ______Name of Parent/Guardian: ______E-mail: ______Person to Contact in Case of Emergency: ______Relationship to Student: ______Home Phone: ( _____) ______Work Phone: ( _____) ______Cell Phone: ( _____) ______Personal/Family Physician: ______City/State: ______Office Phone: ( _____)______

Part 2. Medical History (to be completed by student or parent). Explain “yes” answers below. Circle questions you don’t know answers to. Yes No Yes No 1. Have you had a medical illness or injury since your last ______26. Have you ever become ill from exercising in the heat? ______check up or sports physical? 27. Do you cough, wheeze or have trouble breathing during or after ______2. Do you have an ongoing chronic illness? ______activity? 3. Have you ever been hospitalized overnight? ______28. Do you have asthma? ______4. Have you ever had surgery? ______29. Do you have seasonal allergies that require medical treatment? ______5. Are you currently taking any prescription or non- ______30. Do you use any special protective or corrective equipment or ______prescription (over-the-counter) medications or pills or medical devices that aren’t usually used for your sport or position using an inhaler? (for example, knee brace, special neck roll, foot orthotics, shunt, 6. Have you ever taken any supplements or vitamins to ______retainer on your teeth or hearing aid)? help you gain or lose weight or improve your 31. Have you had any problems with your eyes or vision? ______performance? 32. Do you wear glasses, contacts or protective eyewear? ______7. Do you have any allergies (for example, pollen, latex, ______33. Have you ever had a sprain, strain or swelling after injury? ______medicine, food or stinging insects)? 34. Have you broken or fractured any bones or dislocated any joints? ______8. Have you ever had a rash or hives develop during or ______35. Have you had any other problems with pain or swelling in muscles, ______after exercise? tendons, bones or joints? 9. Have you ever passed out during or after exercise? ______If yes, check appropriate blank and explain below: 10. Have you ever been dizzy during or after exercise? ______Head ___ Elbow ___ Hip 11. Have you ever had chest pain during or after exercise? ______Neck ___ Forearm ___ Thigh 12. Do you get tired more quickly than your friends do ______Back ___ Wrist ___ Knee during exercise? ___ Chest ___ Hand ___ Shin/Calf 13. Have you ever had racing of your heart or skipped ______Shoulder ___ Finger ___ Ankle heartbeats? ___ Upper Arm ___ Foot 14. Have you had high blood pressure or high cholesterol? ______36. Do you want to weigh more or less than you do now? ______15. Have you ever been told you have a heart murmur? ______37. Do you lose weight regularly to meet weight requirements for your ______16. Has any family member or relative died of heart ______sport? problems or sudden death before age 50? 38. Do you feel stressed out? ______17. Have you had a severe viral infection (for example, ______39. Have you ever been diagnosed with sickle cell anemia? ______myocarditis or mononucleosis) within the last month? 40. Have you ever been diagnosed with having the sickle cell trait? ______18. Has a physician ever denied or restricted your ______41. Record the dates of your most recent immunizations (shots) for: participation in sports for any heart problems? Tetanus: ______Measles: ______19. Do you have any current skin problems (for example, ______Hepatitus B: ______Chickenpox: ______itching, rashes, acne, warts, fungus, blisters or pressure sores)? 20. Have you ever had a head injury or concussion? ______FEMALES ONLY (optional) 21. Have you ever been knocked out, become unconscious ______or lost your memory? 42. When was your first menstrual period?______22. Have you ever had a seizure? ______43. When was your most recent menstrual period?______23. Do you have frequent or severe headaches? ______44. How much time do you usually have from the start of one period to the start of another?______24. Have you ever had numbness or tingling in your arms, ______hands, legs or feet? 45. How many periods have you had in the last year?______46. What was the longest time between periods in the last year?______25. Have you ever had a stinger, burner or pinched nerve? ______Explain “Yes” answers here:______

We hereby state, to the best of our knowledge, that our answers to the above questions are complete and correct. In addition to the routine medical evaluation required by s.1006.20, Florida Statutes, and FHSAA Bylaw 9.7, we understand and acknowledge that we are hereby advised that the student should undergo a cardiovascular assessment, which may include such diagnostic tests as electrocardiogram (EKG), echocardiogram (ECG) and/or cardio stress test.

Signature of Student: ______Date: ____/ ____/ ____ Signature of Parent/Guardian: ______Date: ____/ ____/ ____ – 1 – EL2

Florida High School Athletic Association Revised 05/14 Preparticipation Physical Evaluation (Page 2 of 3)

Part 3. Physical Examination (to be completed by licensed physician, licensed osteopathic physician, licensed chiropractic physician, licensed physician assistant or certified advanced registered nurse practitioner). Student’s Name: ______Date of Birth: _____/_____/_____ Height: ______Weight: ______% Body Fat (optional): ______Pulse: ______Blood Pressure: ____ / ____ ( ____/____ , ____ /____ ) Temperature: ______Hearing: right: P ______F _____ left: P _____ F _____ Visual Acuity: Right 20/______Left 20/______Corrected: Yes No Pupils: Equal ______Unequal ______FINDINGS NORMAL ABNORMAL FINDINGS INITIALS* MEDICAL 1. Appearance ______2. Eyes/Ears/Nose/Throat ______3. Lymph Nodes ______4. Heart ______5. Pulses ______6. Lungs ______7. Abdomen ______8. Genitalia (males only) ______9. Skin ______MUSCULOSKELETAL 10. Neck ______11. Back ______12. Shoulder/Arm ______13. Elbow/Forearm ______14. Wrist/Hand ______15. Hip/Thigh ______16. Knee ______17. Leg/Ankle ______18. Foot ______* – station-based examination only

ASSESSMENT OF EXAMINING PHYSICIAN/PHYSICIAN ASSISTANT/NURSE PRACTITIONER I hereby certify that each examination listed above was performed by myself or an individual under my direct supervision with the following conclusion(s): ____ Cleared without limitation ____ Disability: ______Diagnosis:______Precautions: ______Not cleared for: ______Reason: ______Cleared after completing evaluation/rehabilitation for: ______Referred to ______For: ______Recommendations: ______Name of Physician/Physician Assistant/Nurse Practitioner (print): ______Date: _____/_____/______Address: ______

Signature of Physician/Physician Assistant/Nurse Practitioner: ______– 2 – EL2

Florida High School Athletic Association Revised 05/14 Preparticipation Physical Evaluation (Page 3 of 3)

ASSESSMENT OF PHYSICIAN TO WHOM REFERRED (if applicable) I hereby certify that the examination(s) for which referred was/were performed by myself or an individual under my direct supervision with the following conclusion(s): ____ Cleared without limitation ____ Disability: ______Diagnosis: ______Precautions: ______Not cleared for: ______Reason: ______Cleared after completing evaluation/rehabilitation for: ______Recommendations: ______Name of Physician (print): ______Date: ____/____/______Address: ______

Signature of Physician: ______Based on recommendations developed by the American Academy of Family Physicians, American Academy of Pediatrics, American Medical Society for Sports Medicine, American Orthopae- dic Society for Sports Medicine and American Osteopathic Academy for Sports Medicine.

– 3 – EL3

Florida High School Athletic Association Revised 05/14 Consent and Release from Liability Certificate (Page 1 of 2) This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the most recent signature. This form is non-transferable; a change of schools during the validity period of this form will require this form to be re-submitted.

School: ______School District (if applicable): ______Part 1. Student Acknowledgement and Release (to be signed by student at the bottom) I have read the (condensed) FHSAA Eligibility Rules printed on the reverse side of this “Consent and Release Certificate” and know of no reason why I am not eligible to represent my school in interscholastic athletic competition. If accepted as a representative, I agree to follow the rules of my school and FHSAA and to abide by their decisions. I know that athletic participation is a privilege. I know of the risks involved in athletic participation, understand that serious injury, including the potential for a concussion, and even death, is possible in such participation, and choose to accept such risks. I voluntarily accept any and all responsibility for my own safety and welfare while participating in athletics, with full understanding of the risks involved. Should I be 18 years of age or older, or should I be emancipated from my parent(s)/ guardian(s), I hereby release and hold harmless my school, the schools against which it competes, the school district, the contest officials and FHSAA of any and all responsibility and liability for any injury or claim resulting from such athletic participation and agree to take no legal action against FHSAA because of any accident or mishap involving my athletic participation. I hereby authorize the use or disclosure of my individually identifiable health information should treatment for illness or injury become necessary. I hereby grant to FHSAA the right to review all records relevant to my athletic eligibility including, but not limited to, my records relating to enrollment and attendance, academic standing, age, discipline, finances, residence and physical fitness. I hereby grant the released parties the right to photograph and/or videotape me and further to use my name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, promotional and commercial materials without reservation or limitation. The released parties, however, are under no obligation to exercise said rights herein. I understand that the authorizations and rights granted herein are voluntary and that I may revoke any or all of them at any time by submitting said revocation in writing to my school. By doing so, however, I understand that I will no longer be eligible for participation in interscholastic athletics. Part 2. Parental/Guardian Consent, Acknowledgement and Release (to be completed and signed by a parent(s)/guardian(s) at the bottom; where divorced or separated, parent/guardian with legal custody must sign.) A. I hereby give consent for my child/ward to participate in any FHSAA recognized or sanctioned sport EXCEPT for the following sport(s): ______List sport(s) exceptions here B. I understand that participation may necessitate an early dismissal from classes. C. I know of, and acknowledge that my child/ward knows of, the risks involved in interscholastic athletic participation, understand that serious injury, and even death, is possible in such participation and choose to accept any and all responsibility for his/her safety and welfare while participating in athletics. With full understanding of the risks involved, I release and hold harmless my child’s/ward’s school, the schools against which it competes, the school district, the contest officials and FHSAA of any and all responsibility and liability for any injury or claim resulting from such athletic participation and agree to take no legal action against the FHSAA because of any accident or mishap involving the athletic participation of my child/ward. I authorize emergency medical treatment for my child/ward should the need arise for such treatment while my child/ward is under the supervision of the school. I further hereby authorize the use or disclosure of my child’s/ward’s individually identifiable health information should treatment for illness or injury become necessary. I consent to the disclosure to the FHSAA, upon its request, of all records relevant to my child/ward’s athletic eligibility including, but not limited to, records relating to enrollment and attendance, academic standing, age, discipline, finances, residence and physical fitness. I grant the released parties the right to photograph and/or videotape my child/ward and further to use said child’s/ward’s name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, promotional and commercial materials without reservation or limitation. The released parties, however, are under no obligation to exercise said rights herein. D. I am aware of the potential danger of concussions and/or head and neck injuries in interscholastic athletics. I also have knowledge about the risk of continuing to participate once such an injury is sustained without proper medical clearance. READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREE- ING THAT, EVEN IF MY CHILD’S/WARD’S SCHOOL, THE SCHOOLS AGAINST WHICH IT COMPETES, THE SCHOOL DISTRICT, THE CONTEST OFFICIALS AND FHSAA USES REA- SONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOID- ED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM MY CHILD’S/WARD’S SCHOOL, THE SCHOOLS AGAINST WHICH IT COMPETES, THE SCHOOL DISTRICT, THE CONTEST OFFICIALS AND FHSAA IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NAT- URAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND MY CHILD’S/WARD’S SCHOOL, THE SCHOOLS AGAINST WHICH IT COMPETES, THE SCHOOL DISTRICT, THE CONTEST OFFICIALS AND FHSAA HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM. E. I agree that in the event we/I pursue litigation seeking injunctive relief or other legal action impacting my child (individually) or my child’s team participation in FHSAA state series contests, such action shall be filed in the Alachua County, Florida, Circuit Court. F. I understand that the authorizations and rights granted herein are voluntary and that I may revoke any or all of them at any time by submitting said revocation in writing to my school. By doing so, however, I understand that my child/ward will no longer be eligible for participation in interscholastic athletics. G. Please check the appropriate box(es): ____ My child/ward is covered under our family health insurance plan, which has limits of not less than $25,000. Company: ______Policy Number: ______My child/ward is covered by his/her school’s activities medical base insurance plan. ____ I have purchased supplemental football insurance through my child’s/ward’s school. I HAVE READ THIS CAREFULLY AND KNOW IT CONTAINS A RELEASE (Only one parent/guardian signature is required) ______/______/______Name of Parent/Guardian (printed) Signature of Parent/Guardian Date ______/______/______Name of Parent/Guardian (printed) Signature of Parent/Guardian Date I HAVE READ THIS CAREFULLY AND KNOW IT CONTAINS A RELEASE (student must sign) ______/______/______Name of Student (printed) Signature of Student Date – 1 – EL3

Florida High School Athletic Association Revised 05/14 Consent and Release from Liability Certificate (Page 2 of 2)

This completed form must be kept on file by the school. Attention Student and Parent(s)/Guardian(s)

Your school is a member of the Florida High School Athletic Association (FHSAA) and follows established rules. To be eligible to represent your school in interscholastic athletics, in an FHSAA recognized sport (i.e. bowling, competitive cheerleading, girls flag football, lacrosse, boys volleyball, water polo and girls weightlifting or sanctioned sport (i.e. baseball, basketball, cross country, tackle football, golf, soccer, fast-pitch softball, swimming & diving, tennis, track & field, girls volleyball, boys weightlifting and wrestling), the student:

1. Must be regularly enrolled and in regular attendance at your school. If the student is a home education student or attends a charter school or Florida Virtual School - Full time Program or a special/alternative school or certain small non-member private schools, the student must declare in writing his/her intention to participate in athletics to the school at which the student is permitted to participate. Home education students and students attending small non-member private schools must must be approved through the use of a separate form prior to any participation. (FHSAA Bylaw 9.2, Policy 16 and Administrative Procedure 1.8)

2. Must attend school within 10 days of the beginning of each semester to be eligible during that semester. (FHSAA Bylaw 9.2) 3. Must maintain at least a cumulative 2.0 grade point average on a 4.0 unweighted scale prior to the semester in which the student wishes to participate. This GPA must include all courses taken since the student entered high school. A sixth, seventh or eighth grade student must have earned at least a 2.0 grade point average on 4.0 unweighted scale the previous semester. (FHSAA Bylaw 9.4)

4. Must not have graduated from any high school or its equivalent. (FHSAA Bylaw 9.4) 5. Must participate at the school in which the student first enrolls (attends), or at which the student first takes part in an athletic practice, at the beginning of the school year. (FHSAA Bylaw 9.2) 6. Must not transfer schools after the first day of practice of a sport, otherwise the student cannot participate at the new school for the remainder of that sport season. Exceptions may apply. See your school’s principal/athletic director after first attending the new school. (FHSAA Bylaw 9.3) 7. Must not participate on a non-school team (i.e., AAU, American Legion, club setting, etc.) which is affiliated with a school or coached by a representative of a school other than the one the student attends, or has attended, and then attend that school, otherwise the student’s eligibility may be impacted. (FHSAA Bylaw 9.2) Exceptions may apply. See your school’s principal/athletic director after first attending the new school.

8. Must not transfer to a school that the student’s coach has relocated to within a year, otherwise the student’s eligibility may be impacted. (FHSAA Bylaw 9.3) 9. Must not have enrolled in the ninth grade for the first time more than four school years ago. If the student is a sixth, seventh or eighth grade student, the student must not participate if repeating that grade. (FHSAA Bylaw 9.5) 10. Must have signed permission to participate from the student’s parent(s)/legal guardian(s) on a form (EL3) provided the school. (Bylaw 9.8) 11. Must be less than 19 years 9 months old to participate in high school; 16 years 9 months old to participate in junior high school; and 15 years 9 months old to participate in middle school, otherwise the student becomes ineligible to participate at that level. Students entering 9th grade in 2014-15 and thereafter must not turn 19 before September 1st, otherwise the student becomes ineligible to participate. (FHSAA Bylaw 9.6)

12. Must undergo a pre-participation physical evaluation and be certified as being physically fit for participation in interscholastic athletics (form EL2). The physical evaluation is valid for 365 calendar days from the date that it was administered. Parents and students must also submit a completed EL3CH which serves to address heat illness and concussion dangers. (FHSAA Bylaw 9.7)

13. Must be an amateur. This means the student must not accept money, gift or donation for participating in a sport, or use a name other than his/her own when participating. (FHSAA Bylaw 9.9) 14. Must not participate in an all-star contest in a sport prior to completing his/her high school eligibility in that sport. (FHSAA Policy 26) 15. Must display good sportsmanship and follow the rules of competition before, during and after every contest in which the student participates. If not, the student may be suspended from participation for a period of time. (FHSAA Bylaw 7.1) 16. Must not provide false information to his/her school or to the FHSAA to gain eligibility. (FHSAA Bylaw 9.1) 17. Youth exchange, other international and immigrant students must be approved by the FHSAA office prior to any participation. Exceptions may apply. See your school’s principal/athletic director. (FHSAA Policy 17)

18. Must refrain from hazing/bullying while a member of an athletic team or while participating in any athletic activities sponsored by or affiliated with a member school.

19. This form is non-transferable; a separate form must be completed for each different school at which a student participates.

If the student is declared or ruled ineligible due to one or more of the FHSAA rules and regulations, the student has the right to request that the school file an appeal on behalf of the student. See the principal or athletic director for information regarding this process.

– 2 – EL3CH Florida High School Athletic Association Created 06/12 Consent and Release from Liability Certificate for Concussion and Heat-Related Illness (Page 1 of 2) This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the most recent signature. Concussion Information What is a concussion?

Concussion is a brain injury. Concussions, as well as all other head injuries, are serious. They can be caused by a bump, a twist of the head, sudden deceleration or acceleration, a blow or jolt to the head, or by a blow to another part of the body with force transmitted to the head. You can’t see a concussion, and more than 90% of all concussions occur without loss of consciousness. Signs and symptoms of concussion may show up right after the injury or can take hours or days to fully appear. All concussions are potentially serious and, if not managed properly, may result in complications including brain damage and, in rare cases, even death. Even a “ding” or a bump on the head can be serious. If your child reports any symptoms of concussion, or if you notice the symptoms or signs of concussion yourself, your child should be immediately removed from play, evaluated by a medical professional and cleared by a medical doctor.

What are the signs and symptoms of concussion?

Concussion symptoms may appear immediately after the injury or can take several days to appear. Studies have shown that it takes on average 10-14 days or longer for symptoms to resolve and, in rare cases or if the athlete has sustained multiple concussions, the symptoms can be prolonged. Signs and symptoms of concussion can include: (not all-inclusive)

• Vacant stare or seeing stars • Lack of awareness of surroundings • Emotions out of proportion to circumstances (inappropriate crying or anger) • Headache or persistent headache, nausea, vomiting • Altered vision • Sensitivity to light or noise • Delayed verbal and motor responses • Disorientation, slurred or incoherent speech • Dizziness, including light-headedness, vertigo(spinning) or loss of equilibrium (being off balance or swimming sensation) • Decreased coordination, reaction time • Confusion and inability to focus attention • Memory loss • Sudden change in academic performance or drop in grades • Irritability, depression, anxiety, sleep disturbances, easy fatigability • In rare cases, loss of consciousness

What can happen if my child keeps on playing with a concussion or returns too soon?

Athletes with signs and symptoms of concussion should be removed from activity (play or practice) immediately. Continuing to play with the signs and symptoms of a concussion leaves the young athlete especially vulnerable to sustaining another concussion. Athletes who sustain a second concussion before the symptoms of the first concussion have resolved and the brain has had a chance to heal are at risk for prolonged concussion symptoms, permanent disability and even death (called “Second Impact Syndrome” where the brain swells uncontrollably). There is also evidence that multiple concussions can lead to long-term symptoms, including early dementia.

What do I do if I suspect my child has suffered a concussion?

Any athlete suspected of suffering a concussion should be removed from the activity immediately. No athlete may return to activity after an apparent head injury or concussion, regardless of how mild it seems or how quickly symptoms clear, without written medical clearance from an appropriate health-care professional (AHCP). In Florida, an appropriate health-care professional (AHCP) is defined as either a licensed physician (MD, as per Chapter 458, Florida Statutes), a licensed osteopathic physician (DO, as per Chapter 459, Florida Statutes), or a licensed physicians assistant under the direct supervision of a MD/DO (as per Chapters 458 and 459, Florida Statutes). Close observation of the athlete should continue for several hours. You should also seek medical care and inform your child’s coach if you think that your child may have a concussion. Remember, it’s better to miss one game than to have your life changed forever. When in doubt, sit them out.

When can my child return to play or practice?

Following physician evaluation, the return to activity process requires the athlete to be completely symptom free, after which time they would complete a step-wise protocol under the supervision of a licensed athletic trainer, coach or medical professional and then, receive written medical clearance of an AHCP.

For current and up-to-date information on concussions, visit http://www.cdc.gov/concussioninyouthsports/ or http://www.seeingstarsfoundation.org

Statement of Student Athlete Responsibility

I accept responsibility for reporting all injuries and illnesses to my parents, team doctor, athletic trainer, or coaches associated with my sport including any signs and symptoms of CONCUSSION. I have read and understand the above information on concussion. I will inform the supervising coach, athletic trainer or team physician immediately if I experience any of these symptoms or witness a teammate with these symptoms. Furthermore, I have been advised of the dangers of participation for myself and that of my child/ward.

______/______/______Name of Student-Athlete (printed) Signature of Student-Athlete Date

______/______/______Name of Parent/Guardian (printed) Signature of Parent/Guardian Date – 1 – EL3CH Florida High School Athletic Association Created 06/12 Consent and Release from Liability Certificate for Concussion and Heat-Related Illness (Page 2 of 2) This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the most recent signature. FHSAA Heat-Related Illnesses Information

People suffer heat-related illness when their bodies cannot properly cool themselves by sweating. Sweating is the body’s natural air conditioning, but when a person’s body temperature rises rapidly, sweating just isn’t enough. Heat-related illnesses can be serious and life threatening. Very high body temperatures may damage the brain or other vital organs, and can cause disability and even death. Heat-related illnesses and deaths are preventable.

Heat Stroke is the most serious heat-related illness. It happens when the body’s temperature rises quickly and the body cannot cool down. Heat Stroke can cause permanent disability and death.

Heat Exhaustion is a milder type of heat-related illness. It usually develops after a number of days in high temperature weather and not drinking enough fluids.

Heat Cramps usually affect people who sweat a lot during demanding activity. Sweating reduces the body’s salt and moisture and can cause painful cramps, usually in the abdomen, arms, or legs. Heat cramps may also be a symptom of heat exhaustion.

Who’s at Risk? Those at highest risk include the elderly, the very young, people with mental illness and people with chronic diseases. However, even young and healthy individuals can succumb to heat if they participate in demanding physical activities during hot weather. Other conditions that can increase your risk for heat-related illness include obesity, fever, dehydration, poor circulation, sunburn, and prescription drug or alcohol use.

By signing this agreement, the undersigned acknowledges that the information on page 1 and page 2 have been read and understood.

______/______/______Name of Student-Athlete (printed) Signature of Student-Athlete Date

______/______/______Name of Parent/Guardian (printed) Signature of Parent/Guardian Date

– 2 – EL3CH ADDENDUM Florida High School Athletic Association created 06/15 Consent and Release from Liability Certificate for Sudden Cardiac Arrest and Concussion This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the most recent signature. Sudden Cardiac Arrest

Sudden cardiac arrest is a leading cause of sports-related death. This policy provides procedures for educational requirements of all paid coaches and recommends added training. Sudden cardiac arrest is a condition in which the heart suddenly and unexpectedly stops beating. If this happens, blood stops flowing to the brain and other vital organs. SCA can cause death if it’s not treated within minutes.

Symptoms of sudden cardiac arrest include, but not limited to: sudden collapse, no pulse, no breathing.

Warning signs associated with sudden cardiac arrest include: fainting during exercise or activity, shortness of breath, racing heart rate, dizziness, chest pains, extreme fatigue.

It is strongly recommended all coaches, whether paid or volunteer, are regularly trained in CPR and the use of an AED. Training is encouraged through agencies that provide hands-on training and offer certificates that include an expiration date.

Automatic external defibrillators (AEDs) are required at all FHSAA State Series games, tournaments and meets. The FHSAA also strongly recommends that they be available at all preseason and regular season events as well along with coaches/individuals trained in CPR.

What to do if your student-athlete collapses: 1. Call 911 2. Send for an AED 3. Begin compressions

Concussions

I acknowledge the annual requirement for my child/ward to view “Concussion in Sports-What You Need to Know” at www.nfhslearn. com. As well, I acknowledge optional educational opportunities in cardiac arrest at www.sportsafetyinternational.org. Please go to www.fhsaa.org/departments/health for further instructions to view the courses.

I have been advised of the dangers of participation for myself and that of my child/ward.

______/_____/______Name of Student-Athlete (printed) Signature of Student-Athlete Date

______/_____/______Name of Parent/Guardian (printed) Signature of Parent/Guardian Date

--- Beginning with the 2016-2017 school year, the EL3CH will be revised to include the EL3CH addendum language --- Exhibit A Student Travel Authorization

COLLIER COUNTY PUBLIC SCHOOLS

I, the undersigned parent or legal guardian of ______Name of Student grant permission for my child or ward to travel to all GCHS Band Functions for the 2016-2017 school year sponsored by the Gulf Coast High School Band.

I understand the students are scheduled to depart at dates, times and locations listed on the official band calendar found at gchsharkband.com and on our band's Charms page.

I understand, acknowledge and agree that:

The School Board of Collier County, Florida, will provide for reasonable supervision of students within its care and control. The supervision will be consistent with the ages of the students. However, the School Board is not an insurer of the safety of the students nor can it supervise all movements of all students at all times.

In addition, there are certain risks inherent in travel and at the destination. I further understand that an employee or volunteer has no personal liability unless he or she has acted recklessly, wantonly, or intentionally to injure my child.

______Date Signature of Parent or Legal Guardian

______Please print name on this line Emergency Contact Number

PHOTO-VIDEO-MEDIA RELEASE FORM

2016- 2017 SCHOOL YEAR

Date:

Student: (Please print name)

Parent/Guardian: (Please print name)

I hereby consent to having my child interviewed, photographed, recorded on audio tape or videotaped by the school district, school or commercial, print or television media for the reporting of programs taking place at Gulf Coast High School with full knowledge that the end product may appear in print publications, on television, in a video, or on the Internet. The end product may also be used for instructional purposes and/or for public information. I understand that my child, the student named above, may be depicted and or/identified by one or more of the media.

I release The School Board of Collier County, Florida, The School District of Collier County, Florida, Gulf Coast High School and their agents, servants, or employees from any responsibility or liability arising from the use of interviews, photographs, videotapes, sound recordings or other images either of my child or created by my child or others.

Signature of Student

Signature of Parent/Guardian Relationship

7/01/2006 Gulf Coast High School Band Aid Club, Inc.

15275 Collier Boulevard Suite #201, Box #365 Naples, Florida 34119

Band Banner Sponsorship

At Gulf Coast High School, our band banner sponsors represent a cornerstone of our commitment to our band student’s continued success. Without the financial support you so generously provided, many of our student’s most memorable experiences would not be possible. Your business’ support is invaluable when it comes to providing the opportunities and equipment which play a vital role in the success of our students.

We feel that direct crowd exposure lends itself towards building a positive community image. Moreover, we’ll do our best to promote our sponsors at every opportunity throughout the year. Gulf Coast High School provides a great deal of exposure to many people in our community. In our football stadium alone the 2016 – 2017 school year will bring Gulf Coast High School:  7 home football games!  Our nationally-recognized band, the largest in Florida, performing/practicing weekly!  15 – 20 home boys/girls soccer games!  15 – 20 home boy/girls lacrosse games!  Track meets!  Sports Club every Saturday morning throughout the school year!  Not to mention morning drop-off and afternoon pick-up traffic - hundreds of cars daily!

Please consider purchasing or renewing your advertising banner for the upcoming school year. We are selling 4 FT X 6 FT banners to be placed on the football field fence at GCHS. Banners will be displayed all school year.

Banner pricing is as follows:  $ 400.00 if your business provides your own banner (4 FT X 6 FT)  $ 500.00 if you need banner made (you provide EPS file or High-Res JPEG logo)

Again, this is a great low-cost way to showcase your business to our community and support the GCHS Band!! We’re hoping that you will show your commitment to our children and continue being a devoted friend to our school.

Mail check and submission form to: GCHS Band Aid Club, Inc. 15275 Collier Blvd., # 201 Box 365 Naples, FL 34119 2016-2017 Band Banner Submission Form

Student’s Name: ______Date: ______

Student’s GCHS club: ____MARCHING BAND ______

Business Name: ______

Business Address: ______

Contact Name: ______

Contact Email: ______

Contact Phone:______

Check One:

☐ Banner provided by company (4FT X 6FT) – cost $400.00 *

☐ Banner required – cost $500.00 */ Email business EPS file or High-Res JPEG logo with banner specifications to Rachel Slaven at [email protected]

Check Number: ______Amount: ______(Checks payable to: GCHS Band Aid Club)

RETURN FORM & CHECK TO BAND STUDENT (TO PUT IN BAIT BOX) OR MAIL TO:

GCHS Band Aid Club, Inc. 15275 Collier Blvd., #201 Box 365 Naples, FL 34119

Any questions, please contact band parent coordinator Rachel Slaven at [email protected]

*Remember....$100.00 of the Banner proceeds goes directly back into the student’s band account!!