Naugatuck High School Band Permission & Medical Information Form

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I hereby give my permission for the below named student to fully participate in all marching band program rehearsals and performance, as listed on the NHSMB website calendar.

By submitting the information below, you are committing to the 2019-2020 marching band season, including all related financial obligations. You are confirming you will abide by all rules and agree to all policies stated in the 2019-2020 band handbook.

This completed form is due Wednesday, June 19, 2019.

Email *

Student Last Name *

Student First Name *

Street Address *

City *

State *

Student EMAIL Address

Student CELL Phone

Instrument/Section *

T Shirt Size *

Small

Medium

Large

XXL

School Attending *

High School Graduation YEAR *

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