06.11.08
Register Now for Summer Band Camp
***Copy, paste and email to Mr. Woodis.***
NANSEMOND RIVER HIGH SCHOOL
Summer Band Camp Registration August 4 – 28, 2008
Information Form
PLEASE PRINT
Student’s Name _______________________________
Current Grade_______________ Current School _______________________Instrument(s): ________________________ Student Address _________________________________ City/Zip: Suffolk 2343____ Parent(s)/Guardian(s) Name: _________________________________________ Home Phone ( ) _______________ Cell( ) _____________________________ Parent(s) E-mail: ____________________________________________________
Check here if parent and student address is the same_______: If not, then continue Parent Address:___________________________________________________________ City/State/Zip: ______________________________________________________ Telephone No. ___________________________________________________
Does the student live in the zoned area to attend Nansemond River in Sept 2008? Yes___ No___
Summer Band camp will be held at Nansemond River High School starting on August 4, 2008.The camp lasts for 4 weeks August 4 – 28 Monday –Thursday from 9 a.m. – 2 p.m..
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Summer Band Camp Schedule Conflict We will be on a family vacation from _________________to _____________________. I have a doctor’s appt. on ____________________ (a doctor’s note is required). ****It is very important that band students attend all of the summer band camp. **** |
***Copy, paste sign and FAX (757) 538-5430 to the following to
Mr Woodis***
Nansemond River High School Band
Expectations / Consequences / Parental Permission
Warrior Summer Band Camp 2008
*Students are expected to be free of drugs and alcohol. Possession and/or use of drugs, alcohol or cigarettes will be grounds for immediate dismissal from the camp.
*Cell phones, ipods, mp3 players, PSP’s and any portable electronic devices are not allowed to be used, heard or seen during rehearsals or performances.
*Profanity is not acceptable language and will not be tolerated.
*Students are expected to be prompt for rehearsals and performances.
*Excessive tardiness will be dealt with on an individual basis.
*A written excuse is to be submitted following any absence.
*Chewing gum, candy, food, or open drinks are not allowed in the band room or practice rooms.
*Writing on the chalkboard, music stands, chairs, or bulletin boards is prohibited.
*Jewelry should be left at home on all performances and safe guarded during rehearsals.
* Students are expected to observe all Suffolk Public Schools codes of conduct while in the building, on the grounds or on the school bus.
BAND CAMPERS WILL RECEIVE A COPY OF THE BAND HANDBOOK DURING SUMMER CAMP.
(Student Name)_________________________________________________ has my permission to participate in the Summer Marching Band camp at Nansemond River High School Monday, August 4 – 28, 2008.
(Parent Signature)________________________________________ Date__________________________________________________
Nansemond River High School Bands
3301 Nansemond Pkwy Suffolk, VA 23434 #: (757) 923-4101 Fax 538-5430 email: edwwoodis@spsk12.net
EMERGENCY CONSENT FORM
Emergency Authorization: In the event that I can not be reached, I hereby give permission to the physicians selected by the Director of Bands, Edward J. Woodis, to hospitalize, secure proper treatment for and/or anesthesia and /or surgery for the person named below for the 2008-2009 school term.
Student: _____________________________________________
Signature of Parent or Guardian:__________________________________________
Date:__________________________________________________________________ In case of emergency call:
Home Phone:______________________________________ Work Phone:____________________________________ Cell Phone:______________________________________ (Relative or Neighbor) Name:___________________________________________ Phone:__________________________________________ Please list any allergies to medication, etc.
Is the student presently taking any prescription or non-prescription medication? ______ If yes, what type(s)? _______________________________________________________ Please list the date of the last tetanus shot (if known) ______________________________ In the event that we need to hospitalize your student, I am asking that you provide us with a medical insurance provider and your policy number.____________________