<p> Muscle Shoals High School Trojan Band</p><p>2012 – 2013 Forms</p><p>Student Handbook Agreement/ Band Fees</p><p>Uniform/Instrument/Equipment Agreement</p><p>Medical Form/Permission Slip</p><p>Please return these forms along with the fee money by July 30, 2012 </p><p>1 MUSCLE SHOALS HIGH SCHOOL TROJAN BAND</p><p>BAND FEES (Woodwinds, Brass, Percussion) 2012-2013</p><p>First Semester Only $50 Band Fee This fee is set by the School and is paid to the school. There are Several courses that have related fees and band is one of them. This fee is collected by the band and turned in to the office. $35 Cleaning Fee This fee pays for the pick-up, dry cleaning, and delivery of the uniforms for the first semester. $10 Booster Dues This is your Band Booster Membership Dues</p><p>$60 Accessory Fee This pays for two T’shirts; Event Dues; Small goods like reeds, Flip folders, Poles, gloves, valve oil, sticks, mutes, flags</p><p>$100 Band Camp Fee This fee pays for Drill, Music, Leadership Clinic and Instructors. </p><p>__$255 Total First Semester Band Fees are due by July 30, 2012</p><p>Second Semester Only $50 Band Fee This fee is set by the School and is paid to the school. There are several courses that have related fees and band is one of them. This fee is collected by the band and turned in to the office. $15 Cleaning Fee This fee pays for the pick-up, dry cleaning, and delivery of the uniforms for the second semester. __$65 Total Second Semester Band Fees are due by Jan., 2013</p><p>You may pay all of the year’s band fees by July 30, 2012 if you would like. The total fees for the year are $320. Make all Checks payable to: Muscle Shoals High School. Please place a check mark beside the fee(s) you are paying. Attach your check and sign below.</p><p>Parents Signature______Date______</p><p>2 Total Paid______Muscle Shoals High School Band Uniform Guidelines-2012-2013</p><p>1. Uniforms will be stored in the Band Room. A Chaperone will check out/in uniforms before and after each performance. Before check in, each student must hang up uniform and place it in the garment bag. Hats will be returned to the appropriate box and checked in. Any uniform/hat that is not checked in will be considered missing, and that student will need to return to the band room to find the uniform.</p><p>2. All uniforms will remain in the band room at all times. In the event of a student leaving after a performance, the uniform will be removed and left with one of the chaperones so that they may check it in.</p><p>3. A cleaning fee will be paid to the band for having all the uniforms cleaned together. The fee is $35 for the fall semester and $15 for the spring semester. </p><p>4. Each student is responsible for purchasing his or her band shoes and gloves. A salesman will come to the school to take orders for these items during band camp.</p><p>5. If a uniform is in need of repair, or needs special cleaning, the student needs to notify one of the uniform committee workers who will be available before and after every performance. It is the responsibility of each student to take care of his or her uniform in such a way that no damage will occur.</p><p>6. There will be no eating in uniform except under special circumstances such as football games that we travel to. Even then, special instructions will be given by the director on the care of the uniforms. Parents-please do not bring your child items from the concession stand. They will be taken care of as a group.</p><p>7. Parents/Guardians will assume responsibility of covering the cost of lost or damaged uniform parts.</p><p>8. Gauntlets are to be kept in the uniform bag. Plumes will be distributed at performances. Black socks are worn with the uniform and are the responsibility of the band members.</p><p>9. Shoe and accessory bags are given to all band members. Please use them to store shoes, gauntlets and other items not allowed in the regular uniform bag. Write your name on the bags, shoes, etc. and store in your band locker.</p><p>I have read and understand the above, and agree to abide by these guidelines as part of my responsibility to the Muscle Shoals Band.</p><p>Uniform Information</p><p>COAT#______PANTS#______HAT#______</p><p>SHOE SIZE______UNIFORM BAG#______</p><p>______Signature of Student Date</p><p>______Signature of Parent/Guardian Date</p><p>3 Muscle Shoals High School Band Musical Instrument/Equipment Check-Out Form 2012-2013</p><p>School Owned Instrument Information</p><p>Name______Instrument______</p><p>Brand______Serial#______Value$______</p><p>ACCESSORIES</p><p>Case _____ Mouthpiece _____ Ligature _____ Neck Strap _____ Flag Pole _____</p><p>Percussion Items______</p><p>Other Items and Comments______</p><p>We accept the receipt of the above instrument and accessories and we agree to the following: 1. To be personally responsible for the safekeeping of this equipment and to return it at the end of the semester/year. 2. To maintain the equipment in good condition at all times including having it repaired as deemed necessary and as requested by the director. 3. To have the equipment assessed by the director at the end of the use period and pay for any repairs that are needed to return it to issued condition. 4. To allow no other person than myself to play, handle, or use this piece of equipment without the specific permission from the director. 5. To use the equipment to the best of my ability for serious study including regular attendance at all organization rehearsals, performances, regular home practice and additional instruction and study when possible.</p><p>Personal Instrument Information Name______Instrument______</p><p>Brand______Serial#______Value$______</p><p>______Signature of Student Date</p><p>______Signature of Parent/Guardian Date</p><p>4 MUSCLE SHOALS CITY SCHOOLS Band Student Field Trip Permission 2012-2013</p><p>Name______</p><p>TRIPS PLANNED: THE MUSCLE SHOALS TROJAN BAND ATTENDS ALL MSHS VARSITY FOOTBALL GAMES, FOUR MARCHING COMPETITIONS, THE MSHS HOMECOMING PARADE, REGIONAL CONCERT FESTIVALS, SOLO AND ENSEMBLE FESTIVAL, HONOR BANDS, AND VARIOUS OTHER EVENTS THROUGHOUT THE YEAR. THE PURPOSE OF ATTENDING THE EVENTS THROUGHOUT THE YEAR IS TO PROVIDE YOUR CHILD WITH A BROAD MUSICAL BACKGROUND THROUGH PERFORMANCE AND COMPETITION, AND TO REPRESENT OUR SCHOOL, CITY AND STATE. SUPERVISION: THE STUDENTS WILL BE SUPERVISED BY THE BAND DIRECTORS AND SPONSORS. P. STEGALL, D. WATERS, T.OWNBY, ETC. CHAPERONES: CHAPERONES FOR EACH TRIP WILL BE ASSIGNED BY THE TRIP COMMITTEE CHAIRPERSON. A MINIMUM OF TWO CHAPERONES PER BUS WILL BE ASSIGNED, NOT INCLUDING SCHOOL STAFF. YOU WILL RECEIVE A SCHEDULE OF TRIPS IN THE BAND HANDBOOK. MOST TRIPS WILL REQUIRE THAT YOUR CHILD BRING SPENDING MONEY FOR MEALS, SNACKS AND SOUVENIRS. STUDENTS WILL BE TRANSPORTED EITHER BY SCHOOL BUS OR PUBLIC TRANSPORTATION (CHARTER BUSES). INSURANCE AND PERMISSION: I understand that the Muscle Shoals Board of Education may or may not carry any insurance relative to the trip or for injuries to the student. I represent that the student has insurance either through the Board’s student insurance program or through my own insurance carrier.</p><p>I request that the above named student be allowed to participate in the trip/s planned and specifically consent to his/her participation.</p><p>If any emergency medical procedures or treatment are required during the trip, I consent to the trip supervisor/s taking, arranging for, or consenting to the procedures or treatment in his, her or their discretion.</p><p>I release and waive, and further agree to indemnify, hold harmless or reimburse the Board of Education, the individual members, agents, employees and representatives thereof, as well as trip supervisors, from and against, any claim which I, or any other parent or guardian, any sibling, the student or any other person, firm or corporation may have claim to have, known or unknown, directly or indirectly, for any losses, damages or injuries arising from participation in the above field trip/s.</p><p>Parent or Guardians Signature______</p><p>Date______</p><p>5 MUSCLE SHOALS CITY SCHOOLS Band Student Medical Form Please return this form to the band director by July 30, 2012 ADVANCE CONSENT FOR MEDICAL TREATMENT</p><p>THE INFORMATION REQUESTED ON THIS FORM MUST BE SUBMITTED AS PART OF THE REQUIREMENT FOR PARTICIPATION IN THE MSHS BAND. THE INFORMATION WILL BE TREATED IN A CONFIDENTIAL MANNER AND UTILIZED ONLY IN MATTERS CONCERNING THE HEALTH AND WELFARE OF THE PERSON CONCERNED.</p><p>STUDENTS NAME______AGE_____BIRTHDATE______</p><p>ADDRESS______CITY______ST______ZIP______</p><p>SS#______/______/______</p><p>PARENTS NAME______HOME PHONE______</p><p>BUSINESS PHONE______</p><p>NAME OF PERSON OTHER THAN PARENT TO NOTIFY IN CASE OF EMERGENCY:</p><p>NAME______PHONE______</p><p>ADDRESS______BUSINESS PHONE______</p><p>MEDICAL INFORMATION</p><p>PRIOR ILNESSES OR SURGERIES______</p><p>DOES YOUR CHILD HAVE: DIABETES?___ EPILEPSY?___ MENTAL DISORDER?___ HEART PROBLEMS?___ OTHER?______</p><p>PRESENT MEDICAL CONDITIONS______</p><p>ALLERGIES______</p><p>DATE OF LAST TETANUS SHOT______</p><p>PRESENT MEDICATIONS______</p><p>FAMILY PHYSICIAN______PHONE______</p><p>My Child has permission to swim on the band trip ____ My Child does not have permission to swim on the band trip ____</p><p>AUTHORIZATION FOR EMERGENCIES</p><p>PERMISSION IS GRANTED FOR THE BAND DIRECTORS AND CHAPERONES TO ADMINISTER FIRST AID AND TO ARRANGE TRANSPORTATION TO A MEDICAL FACILITY IN CASE THE PERSON NAMED IS SERIOUSLY ILL OR INJURED. I HEREBY RELEASE AND DISCHARGE THE BAND DIRECTORS AND VOLUNTEER CHAPERONES FROM ANY AND ALL LIABILITY IN CASE OF ACCIDENT OR ANY OTHER INJURY WHICH MIGHT OCCUR TO MY CHILD THROUGH ADMINISTERING FIRST AID, AND OR ARRANGING TRANSPORTATION FOR MY CHILD TO A MEDICAL FACILITY. INFORMATION FOR INSURANCE COMPANY</p><p>NAME OF INSURANCE COMPANY______NAME OF INSURED______POLICY #______GROUP #______SIGNATURE OF PARENT/GUARDIAN DATE</p><p>6 MUSCLE SHOALS HIGH SCHOOL TROJAN BAND</p><p>Colorguard BAND FEES 2012-2013</p><p>First Semester Only $50 Band Fee This fee is set by the School and is paid to the school. There are Several courses that have related fees and band is one of them. This fee is collected by the band and turned in to the office. $200 Guard Uniform This fee pays for the uniforms and shoes for the first semester.</p><p>A uniform deposit of $100 is due in June.</p><p>$10 Booster Dues This is your Band Booster Membership Dues.</p><p>$120 Accessory Fee This pays for two T’shirts; 2 tank tops, wind suit, Event Dues; Small Goods like Poles, Flags, Gloves and other accessory items. $100 Guard Camp Fee This fee pays for Routines and Instructors</p><p>$100 Band Camp Fee This fee pays for Drill, Music, Leadership Clinic and Instructors. </p><p>**The girls will be asked to purchase inexpensive rehearsal shorts on their own. . __$580 Total First Semester Band Fees are due by July 30, 2012 First year members will be asked to purchase (one time purchase only) $190 Colorguard Jacket $60 Colorguard Jersey $30 Colorguard equipment bag ___$860 total first semester first time members</p><p>Second Semester Only (Auxiliary that play) $50 Band Fee This fee is set by the School and is paid to the school. There are several courses that have related fees and band is one of them. This fee is collected by the band and turned in to the office. $15 Cleaning Fee This fee pays for the pick-up, dry cleaning, and delivery of the uniforms for the second semester. __$65 Total Second Semester Band Fees are due by Jan., 2013</p><p>You may pay all of the year’s band fees by August 1, 2011 if you would like. The total fees for the year are $585 (first year members $895). Make all Checks payable to: Muscle </p><p>7 Shoals High School. Please place a check mark beside the fee(s) you are paying. Attach your check and sign below.</p><p>Parents Signature______Date______Total Paid______</p><p>MUSCLE SHOALS HIGH SCHOOL TROJAN BAND</p><p>BAND FEES (Majorettes only) 2012-2013</p><p>First Semester Only $50 Band Fee This fee is set by the School and is paid to the school. There are Several courses that have related fees and band is one of them. This fee is collected by the band and turned in to the office. $10 Booster Dues This is your Band Booster Membership Dues</p><p>$60 Accessory Fee This pays for two T’shirts; Event Dues; Small Goods like Poles, Flags, Gloves and other accessory items. $100 Majorette Camp This fee pays for Routines and Instruction</p><p>$100 Band Camp Fee This fee pays for Drill, Music, Leadership Clinic and Instructors. </p><p>. __$320 Total First Semester Band Fees are due by July 30, 2012</p><p>Second Semester Only (Guard and Majorettes) $50 Band Fee This fee is set by the School and is paid to the school. There are several courses that have related fees and band is one of them. This fee is collected by the band and turned in to the office. $15 Cleaning Fee This fee pays for the pick-up, dry cleaning, and delivery of the uniforms for the second semester. __$65 Total Second Semester Band Fees are due by Jan. , 2013</p><p>You may pay all of the year’s band fees by August 1, 2011 if you would like. The total fees for the year are $385. Make all Checks payable to: Muscle Shoals High School. Please place a check mark beside the fee(s) you are paying. Attach your check and sign below. 8</p><p>Parents Signature______Date______Total Paid______</p><p>9</p>