C.E. Jordan High School Marching Band 2023-24 Online Registration Form
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Email *
Student Name (First, Last): *
Student Preferred Name (if applicable):
Student Personal (Non-DPS) Email Address: *
Student Cell Phone Number (###-###-####): *
Student Address (Street, City, Zip): *
Grade (for the 2023-24 school year): *
Is this your first year in marching band? *
If you are a rising 9th grader, what middle school are you coming from?
Years experience in marching band: *
Marching Band Section: *
Marching Band Instrument (Leave blank if N/A):
Concert Band Instrument (Leave blank if N/A):
Shirt Size: *
Shoe Size: *
Dietary Restrictions: *
Do you have a food allergy? *
If so, please describe:
Parent/Guardian 1 Name (First, Last): *
Parent/Guardian 1 Email Address: *
Parent/Guardian 1 Cell Phone: *
Parent/Guardian 1 Home/Work Phone: *
Parent/Guardian 1 Address (Street, City, Zip): *
Parent/Guardian 2 Name (First, Last): *
Parent/Guardian 2 Email Address: *
Parent/Guardian 2 Cell Phone: *
Parent/Guardian 2 Home/Work Phone: *
Parent/Guardian 2 Address (Street, City, Zip): *
Emergency Contact (First, Last): *
Emergency Contact (Relationship): *
Emergency Contact Cell Phone: *
Emergency Contact Home/Work Phone: *
Parents: we need your help! We have many volunteer opportunities. Please choose below any areas you may be interested in. Pit/Prop Prep (building/repairing props, sewing flags, etc.); Pit Crew (moving props & pit instruments on & off the field at football games & competitions); Uniforms (fitting, inventory, and helping students at games & competitions); Chaperones (escorting students to competitions/trips); Friday Night Team (bleacher covers, water, music & overall help for Friday night Home games); Photography/Videography (band camp, competitions, football games, social events)
DPS Volunteer Application
IMPORTANT NOTE: All parent volunteers must complete the volunteer registration via the DPS Website BEFORE you are allowed to be around our students in any capacity. It takes up to a couple of weeks for approval so please fill out the form ASAP. Each registration is valid for 2 years. Go to www.dpsnc.net and click “volunteer” or the direct link is listed below. https://ec.samaritan.com/recruiter/index.php?class=VolunteerRegistration&recruiterID=1343
Which option are you selecting to pay your fair share fee? (Refer to the C.E Jordan High School Marching Band 2023-24 Informational Packet if needed) *
OPTIONAL: Are you interested in participating in our Sponsor-A-Student program (donating towards scholarships for students in need of financial assistance). 
If you answered yes to the question above, how much money do you intend to donate towards our Sponsor-A-Student program?
Student: Are you intending to travel with us to NightBEAT on Sunday, July 30th, 2023? (Leave blank if not intending to travel.)
Parent/Guardian: (Only if your student is traveling to NightBEAT, otherwise leave blank.) 
Student: I have read, understood, and completed the JHS Marching Band Contract for the 2023-2024 Season. *
Parent: I have read, understood, and completed the JHS Marching Band Contract for the 2023-2024 Season. *
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