9/13 UWG Wind Ensemble Concert Permission Form

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All students and chaperones must complete a form in order to attend the trip

Schedule:
3:30-5:00 Recreation time at CJHS
5:00-5:20 Change if needed out of sweaty clothes
5:20-6:20 Dinner and dessert
6:45 Depart for Carroll County Performing Arts Center
6:55 Arrive, use restrooms, tour facility and meet and greet with UWG students
7:30 Concert Begins
8:30 Concert concludes
8:45 Arrive back at CJHS

Student First Name *

Student Last Name *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Would you like to chaperone? (will be fed for free) *

Yes

If chaperoning, will you ride the bus with us to and from the Carroll County Performing Arts Center? *

Yes

I am not chaperoning

Student Payment of $10 will be submitted by: *

$10 Cash

$10 Check written out to CJHS Band

$10 Revtrak under "CJHS Miscellaneous payment- any amount"

Student Emergency Contact (Full name and phone number) *

Student Allergies or Medical Needs

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