EHS Winter Guard Contract
Please complete the following form to participate in the EHS Winter Guard for the 2021-2022 SY. All information regarding dates, fees, and expectations is listed on the Etowah Band Website and was covered at the Interest Meeting.  (www.ehseagleband.org/winter-guard)

Please complete this form as completely as possible. As we move to online platforms, patience is requested. Make sure all email addresses are correct and are checked regularly. Communication will come through those if questions arise.

You can email Mr. Long at stephen.long@cherokeek12.net, Mrs. Hackney at annissa.hackney@cherokeek12.net at any time or email the Band Booster Presidents at etowahbandpresident@gmail.com.
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Student First Name *
Student Last Name *
Student School Email *
Student Cell Phone #
Primary Street Address *
Primary City *
Primary Zip Code *
Primary Home Phone *
Student T-Shirt Size (Adult Sizes Only) *
Year of Student Graduation *
Primary Parent/Guardian Name *
Primary Parent/Guardian Email *
Primary Parent/Guardian Primary Phone Number *
Secondary Parent/Guardian Name
Secondary Parent/Guardian Email
Secondary Parent/Guardian Primary Phone Number
Emergency Contact  Name (in case a parent cannot be reached) *
Emergency Contact Phone Number *
Emergency Contact  Relationship *
Are you a returning or new member of the EHS Guard program? *
How many years have you participated in Winter Guard? *
I understand that I am expected to attend all rehearsals and competitions. If a conflict arises, it is my responsibility to contact Mrs. Hackney/Mr. Long & leadership prior to rehearsal/competition. *
I understand that any payments for band/guard dues are non-refundable. *
Payment Plan Options- Please select your payment plan from the list below. *
I understand that if my financial situation changes from the agreed payment plan I should contact Mr. Long/Mrs. Hackney so we can work out a plan. *
I understand that I am making a commitment to pay all winter guard program fees. This is a debt. Non-payment may result in: Losing the privilege of participating in graduation, commencement exercises, and forfeiting a spot in the future year's marching program. (Payment plans and cost will be posted on the band website as soon as possible and another form sent for selecting payment options) *
Doctor's Name and Phone Number *
List all known allergies-including medications, foods, animals, insect bites, stings and environmental allergies. Please include the reaction and treatment. *
List all known conditions-including asthma, diabetes, low blood sugar, blood pressure, heart conditions. Please include any treatment or considerations. *
List all medications currently used by the student. *
Are there any medical reasons or physical limitations that may prevent your student from full participation in all band activities? If yes, please explain. *
I understand that in the event that a parent or guardian cannot be reached or immediate attention is required, the EHS band or any of its designated volunteers has my permission to seek appropriate medical attention for my child. *
Parent/Guardian-please complete this question.                          By typing my first and last name I verify the information entered is accurate to the best of my knowledge and agree to the above "Understand" statements. (Please type your First and Last name.) *
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