2024 Marching Band Commitment and Registration Form
Please fill out this form in its entirety by April 12th. Registration is not finalized until the Family Fee of $250 is paid via payments plus. Thank you!
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Permission is hereby granted to the Director of Bands, Athletic Director or Athletic Trainer at Union Academy Charter School to proceed with ANY needed medical treatment, ambulance notification, and/or x‐ray for the below named student. In the event of serious illness or injury, need of surgery, or accidental occurrences I understand that an attempt will be made by the director of bands, coaching or medical staff to contact me by phone. If unsuccessful, needed emergency treatment may be given as necessary for the best interest of the student and a copy of this permission form will be furnished to the doctor in charge. I also grant permission for the treating physician to release information to the director of bands, athletic trainer and/or health related information needed to care for my child with physicians, coaches, other healthcare providers, etc. throughout the school year. *
Required
Students First and Last Name *
Students Grade Level for the 2024/2025 School Year *
Students Date of Birth *
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Students Address *
Parent/Guardian #1 First and Last Name *
Parent/Guardian #1 Phone Number *
Parent/Guardian #1 Email *
Parent/Guardian #2 Name *
Parent/Guardian #2 Email *
Emergency Contact Name *
Emergency Contact Phone Number *
What is your shirt size? *
Students food allergies or sensitivities *
Students Known Allergies/Illnesses *
Students Known Medication Taken *
Students Insurance Company Name *
Students Insurance Company Address *
Students Insurance Policy/Group # *
By clicking below the parent/legal guardian understands and accepts the information, expectations, and consequences set forth in the marching band handbook. https://docs.google.com/document/d/1KawQb9oI7hItBPSfhW5TDnUmG5AutkzAGC1hszsmx0w/edit?usp=sharing  *
Required
By clicking below the student understands and accepts the information, expectations, and consequences set forth in the marching band handbook. *
Required
WE NEED VOLUNTEERS!!! It takes ALL of our band families to create a successful Marching Band Program.  The following link will take you to a form with volunteer opportunities available for marching band and beyond. Please check next to any positions you would like to learn more about. EVERY family is asked to work at least one shift at band camp and participate in at least one fundraiser. The money earned helps keep our band fees down and allows us to continue to grow. Here's the link: https://forms.gle/WfAxi6U91SkjgsoR7                                                   
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