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PPS Marching Band 2019
Marching Band Signups for Plymouth High Schools Marching Band for fall of 2019.
Please fill out the following information to provide us some information about your student. We are looking forward to getting to know each of them as part of this after school performing group!
Pre-season rehearsals will be scheduled in June and July. Band Camp (full rehearsals) begin on August 12 at Plymouth North High School
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* Indicates required question
Email
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Your email
Student first name
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Your answer
Student last name
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Your answer
Date of birth
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MM
/
DD
/
YYYY
Home phone number
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Your answer
Emergency contact name
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Your answer
Emergency contact number
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Your answer
Additional emergency contact number
Your answer
Student cell number
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Your answer
Parent email address
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Your answer
Second parent email address
Your answer
Student email address
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Your answer
Student Mailing Address
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Your answer
Year of graduation
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2020
2021
2022
2023
2024
2025 (Front ensemble participation and by director approval- not eligible for UK trip)
School for fall of 2019
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Plymouth North High
Plymouth South High
PCIS
PSMS
Marching band participation
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winds (either woodwind or brass)
color guard
percussion-battery/front ensemble
I'm unsure and would like to meet with a band director about this
What is your first choice of instrument for marching band?
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Your answer
If you have a second choice of instrument for marching band, what is it?
Your answer
Are there are any medical or other concerns that we should be aware of as we teach your child in in marching band rehearsals? If there are- Mrs. Holmes or Mr. Shaw will be in touch to schedule a brief conference.
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Yes - please contact me to schedule a meeting
No concerns at this time. Please reach out to one of the directors if anything comes up during the season.
Required
The High School Band is often in places where we could have newspaper or other media taking pictures or video. Do you give permission for pictures?
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I give permission for my child's name to be used or picture to be taken for the media
I do NOT give permission for my child's name to be used or picture to be taken for the media.
History of head injury/concussion: Has the student ever had a traumatic head injury?
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Yes
No
History of head injury/concussion: If yes, when was head injury? (Please skip if none)
Your answer
History of head injury/concussion: Has the student ever received medical treatment for a head injury?
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Yes
No
History of head injury/concussion: If received treatment, when(month and year)?
Your answer
Please describe circumstances of this head injury
Your answer
History of head injury/concussion: Was the student diagnosed with a concussion?
Yes
No
Clear selection
Duration of Symptoms (such as headache, difficulty concentrating, fatigue) for the most recent concussion:
Your answer
Students and parents need to take the following concussion training. Please print the certificate and send it in to Mrs. Holmes when you have completed it. This must be done before band camp begins on August 12.
http://www.cdc.gov/concussion/HeadsUp/Training/index.html
This link is also available on the Marching Band Information handout
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I understand, and will submit the concussion training certificate.
Permission to participate:
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I give permission for my child to participate in the Plymouth High Schools Marching Band for the 2019/2020 school year.
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