CONTACT INFORMATION

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CONTACT INFORMATION

Email *

Student Name *

Home Address *

Home Phone (No dashes, ex. 60355555555) *

Full Name of Parent(s) or Guardian(s) *

Parent Work Phone (No dashes, ex. 60355555555)

Parent Cell Phone (No dashes, ex. 60355555555) *

Parent Email Address *

I give permission to share my contact information with the Milford High School Music Boosters. *

Yes

ORDER FORM

Keep track of your total and enter amount owed at end of form.
Please contact band director if you have any questions or concerns.
We believe that no student should be excluded from music due to inability to pay.

Student Shirt Size (This shirt is paid for by the music boosters) *

Band Jacket: Optional *

I am a first year student and want to order a jacket ($35*) *The music boosters will pay for half of cost of jacket

I am a first year student and would like to borrow a jacket from the school when they are required for a performance (NO FEE)

I am a returning student and would like to order a new jacket ($70)

I already have a jacket and do not need to order one this year (NO FEE)

Band Jacket Size (write "none" if you do not need a jacket or will be borrowing one) *

Band Jacket Left Sleeve Embroidery: Optional ($5) Use space below for embroidered text Examples: "John Smith" "John Smith, Class of 2016" "John Smith, Color Guard" "John Smith, Guard"

Color Guard Shoes: Required *

I need to order color guard shoes ($40)

I do not need to order new color guard shoes (NO FEE)

Color Guard Shoe Size (write "none" if you do not need color guard shoes) *

Color Guard Camisole Unitard ($35): Required for all color guard members. Indicate that you need to order a unitard by listing measurements below - Bust, Waist, Hips (write "none" if you do not need a color guard camisole unitard) *

Additional Shirts: Optional List quantity and size, ex. 3MD, 1XL ($15 ea)

Total ($) *

Form of payment *

Cash

Check

Other:

Required

Checks made payable to “Milford High School”

Please contact Brad Smith at bradley.smith@milfordk12.org with any questions or concerns.

MISCELLANEOUS

Will you attend the Band Camp Family Day BBQ and Performance on August 24th 5-8 pm? *

Yes

Number of Attendees for Family Day BBQ (include student in number) *

Acknowledgement Form: In order to maintain the integrity of the Milford High School Music Department a student Handbook has been created. To ensure that all students and parents fully understand the handbook policies, please read the entire handbook (a hard copy will be made available during band camp). I have read the Milford High School Music Department Handbook, reviewed the Calendar of Events and and understand the policies, expectations, and procedures stated within. By typing both the parent's and student's name below, you acknowledge receipt of the Handbook and Calendar of Events and that you have read them. *

Uniform Agreement: By typing my name below I agree to be assigned a uniform from the MHS Music Department. I acknowledge that while in my possession I am responsible for the care and condition of that uniform. I agree to pay for the repair or replacement of that uniform if it is lost or damaged while in my possession (this includes ripped material, buttons, snaps, stains, etc.) *

Please print, sign and return the forms below. Return forms and the payment from your order above to Mr. Smith. *

Permission Slip and Medical Information Forms (www.spartanmusicnh.com)

Required

MHS ADDRESS

Bradley Smith
c/o Milford High School
100 West St.
Milford, NH 03055

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