2022-2023 Shepton Orchestra Consent Form & Orchestra Handbook Acknowledgement
Student Email *
Student Last Name *
Student First Name *
Student Nickname (If Any)
Student ID # *
Parent #1 Last Name *
Parent #1 First Name *
Parent #1 Email Address *
Parent #2 Last Name
Parent #2 First Name
Parent #2 Email Address
Student Class Period *
Instrument *
Will you need to use a school instrument this year? Cello and bass are definitely a "Yes". *
What size?
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Student T-Shirt Size *
Student Birthday *
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DD
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Handbook *
I have read and understand the orchestra handbook's contents and both my student and I agree to abide by the expectations set forth in the handbook.  Link to handbook: https://tinyurl.com/sheptonorchhandbook 
Required
Insurance Statement
Insurance Release: *
I have been made aware that accident insurance for injuries which may be sustained during practices, rehearsals, or performances of the Shepton Orchestra is available from an independent carrier. I have also been made aware that theft and vandalism insurance for privately owned instruments is available from an independent carrier.
Required
Orchestra Fee - $65  Due by August 26th. Preferred payment method is credit or debit card via Cheddar Up at this link:  https://orchestra-program-fee-2022-2023.cheddarup.com

Cash or check made out to "Shepton Orchestra Boosters" is also accepted.
*
I understand that all students are expected to pay the $65  orchestra fee. This fee covers the t-shirt, outside coaches, clinicians, socials, and other general orchestra needs.  Furthermore, if I need to make installment payments, I will contact Mr. Davis directly. I know that all checks should be made payable directly to:  " Shepton Orchestra Boosters." (Please include student's name and students ID# on all communication)
Required
Image Privacy Release *
Students who attend school in the Plano Independent School District are occasionally asked to be a part of school and/or District publicity, publications and/or public relations activities. In order to guarantee student privacy and ensure your agreement for your student to participate, the District asks that you sign this form. This form indicates approval for the student’s name, picture, voice or verbal statement to appear in school publicity or District publications, videos or on the District’s Web Site. For example, pictures and articles about school activities may appear in local newspapers or district publications. Plano ISD agrees that the student’s name, voice, verbal statements, portrait or picture shall only be used for public relations, public information, school or district promotion, publicity and instruction. We understand that no monetary consideration shall be paid. Consent and release have been given without duress. This agreement is binding upon heirs and or future legal representatives. Statements and photos may be used in subsequent years.
Required
Code of Conduct *
I understand and consent to the responsibilities outlined in the PISD Student Code of Conduct. I know my child shall be held accountable for behavior and consequences outlined in that code at school sponsored activities. This shall include school travel and any school related misconduct, regardless of time or location. Students involved in extracurricular activities are held to a higher standard of conduct. PISD views participation in these activities as a privilege, not a right. I understand that any student who violates the Code of Conduct shall be subject to disciplinary action. Students involved in major infractions (i.e. including, but not limited to, drugs, alcohol, and violent behavior) will be removed temporarily or permanently from extracurricular activities. Disciplinary action could extend into next school year and affect tryouts for the next season.
Required
Private Lesson Information
Private Lessons                                                   *
Private Lesson Teacher
If possible, schedule my student with:
Outside Private Teacher
If your student is already enrolled in private lessons outside of school, please list their name.
Parent's Digital Signature *
Please type your full name. This constitutes your signature to this document.
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