SAMOHI BAND 2018-2019 ALL-BANDS

REGISTRATION PACKET Welcome to the Santa Monica High School Bands! We are very happy to have your student in our fantastic band program. This All-Bands Registration Packet provides important information about the program and is a necessary part of registering your student for Samohi Concert Band, Jazz Band, Marching Band and/or Color Guard classes. Any information you provide will be kept by the Directors and used only to send you school and Band information throughout the year. You may register by printing these forms OR by using the online registration system on the Bands website www.samohiband.com. Either way, the Off-Campus Activity Form and Student Emergency Card must be printed, signed and returned to school. Printed forms are also available in the Band Room (M102). Marching Band & Color Guard students: Registration is required for participation in Band Camp. Please complete registration and return any printed forms before the first day of Band Camp, August 6, 2018. Concert Band students not enrolled in Marching Band: Please complete registration and return any printed forms by to the Directors by Friday, September 7, 2018.

The packet includes the following forms: • Student & Family Information Form • Performance Attire and Instrument / Equipment Agreement • 2018-19 Samohi Marching Band & Color Guard Uniform Agreement • 2018-19 Samohi Marching Band & Color Guard Payments & Contributions • Santa Monica High School Bands Off-Campus Activity Form • Santa Monica High School Student Emergency Card

If you have more than one student enrolled in Band, please fill out a full set of forms for each student. When you're finished, please bring any printed forms, payments and/or donations to the Samohi Band room, or mail them to: Samohi Bands 601 Pico Blvd. Santa Monica, CA 90405 You may also make monthly donations (as low as $10 per month) via Paypal on the Band website www.samohiband.com.

Thank you for registering for the Samohi Bands! - Directors Kevin McKeown & Terry Sakow

Samohi Bands Registration Packet Page# 2of 7

STUDENT & FAMILY INFORMATION FORM

Student’s Full Name: Samohi ID Number:

Name or Nickname to Print in Concert Program Rosters: Home Phone: Cell Phone*: Email: If there is no Home Phone, please enter a Parent Cell Number *Student Cell Phone numbers are for the teachers’ use only. We do not share them with parents or other students. Student's Home Address: City Zip Code

Student’s Grade in August, 2018: � 9th � 10th � 11th � 12th BAND CLASS SELECTIONS (Check all that apply): � Concert Band � Marching Band � Jazz (any level) � Color Guard or Winter Guard Concert Band Class Period or Name: If the student does not know the name of the Concert Band class, please leave blank. Primary Instrument � Bassoon � Bass clarinet � Clarinet (choose one): � Euphonium � Flute � French horn � Mellophone � Oboe � Percussion � Sax – alto � Sax – baritone � Sax – tenor � Trombone � Trumpet � Tuba Other: ______________________________ Marching Band Instrument (if different): Additional Instruments: � Piccolo � Piano Other:

PARENT INFORMATION Name of Parent Completing this Form: Same address and Home phone as student? � YES � NO* *Home Address (if different): City Zip Code Best Phone Number to Reach You: Email: Name of Parent #2 (Optional): Same address and Home phone as student? � YES � NO Best Phone Number for Parent #2: Email:

Samohi Bands Registration Packet Page# 3of 7

PERFORMANCE ATTIRE & INSTRUMENT / EQUIPMENT AGREEMENT

CONCERT BAND PERFORMANCE ATTIRE All four Samohi Concert Bands perform at last three concerts per year. Student participation in these concerts is mandatory and counts towards the student’s Concert Band grade. Concert Bands Performance Attire: In order to perform with the group, Concert Band students are required to wear the approved Concert Band Black Dress OR a tuxedo, black suit, or black pants and black coat with a white button-down dress shirt. Concert Band Dresses: New Concert Band Black Dresses cost $75, and the Bands will order them for you, if you decide to purchase one. They are machine washable, and made of flexible fabric that can easily be worn through 4 years of Concert Band. All dresses are very long and must be hemmed before wearing. The Bands have dresses available to lend to students. We ask for a contribution of $20/year to cover cleaning & storage. If you borrow a Black Dress, you must remove the hem when you return it. You may purchase dresses using our online forms at www.samohiband.com or pay with cash or check on the dress fitting day. Tuxedo: Tuxedos can be purchased for less than $100 from JC Penny, Amazon and other discounted Men’s stores. Tuxedos can also be rented for the year from Elite Tuxedo, which will fit students during all Concert Band class periods on a date to be announced on the Bands' website. Elite will alter the suits and/or exchange tux sizes throughout the year at no extra charge. Order forms will be sent to all Band students by email, and printed forms will be available in the Band Room shortly before the tuxedo fitting day.

CONCERT BAND PERFORMANCE ATTIRE AGREEMENT I understand that Samohi Concert Band students must wear approved formal attire to perform in mandatory Concert Band performances. At the time of his/her fitting, my student will inform the Bands if we intend to purchase or rent formal wear from the Samohi Bands. Parent’s Acknowledgment (initial)_____ Student’s Acknowledgment (initial)_____

INSTRUMENT, MUSIC and EQUIPMENT AGREEMENT I acknowledge and agree that I am personally responsible for the care and safety of all school-issued instruments and equipment provided to my student. Those responsibilities include but are not limited to the following:

• being responsible for ANY damage and NECESSARY REPAIRS caused by our negligence • maintaining and caring for the instrument according to the usual recommended practices, as if it were our

own • replacing any instruments or equipment lost, stolen or damaged beyond repair with another of equal

value • forbidding anyone else to use the instrument(s) or equipment • returning all instrument(s) or equipment when requested • using the instrument(s) and/or equipment exclusively for the preparation and performances of the school

or District's classes and organizations, unless specifically authorized by the Directors I also acknowledge and agree to follow all rules regarding the care and return of all music issued to my student, and I agree to pay for any lost, stolen or damaged music. I also understand that

• my student will be issued a music folder for the season • my student must return all music on the date directed

Parent’s Acknowledgment (initial)_____ Student’s Acknowledgment (initial)_____

Samohi Bands Registration Packet Page# 4of 7

2018-19 SAMOHI MARCHING BAND &

COLOR GUARD UNIFORM AGREEMENT

Student’s Name: � Marching Band � Color Guard Name of Parent Completing this Form: MARCHING BAND/COLOR GUARD UNIFORM & EQUIPMENT AGREEMENT

Each Marching Band and Color Guard student will be issued a casual uniform shirt and jacket, which are the students’ to keep. If a student loses his or her casual uniform, s/he must purchase a replacement to wear at events where the casual uniform is required. Replacement shirts cost $12, and jackets cost $30. Students will also be issued a performance/competition uniform that will remain the property of Santa Monica High School. Marching Band and Color Guard students will be fitted for uniforms during Band Camp. Parent's acknowledgement: I understand that my student is responsible for the care of the issued uniforms and equipment, and I understand that the below rules apply to all uniform assignments. I give permission for my student to be issued all uniform articles, and I agree to take full financial responsibility for any uniforms or uniform parts that are damaged, lost or stolen due to my student's negligence. Student's acknowledgement: I agree to follow all rules, regulations and verbal instructions regarding the care of the Marching Band uniform (including the "Do's and Don'ts" below), and I will behave in the manner expected of me while wearing the uniform of the Samohi Viking Marching Band & Color Guard: WHILE IN UNIFORM, DO

! Treat the uniform with care and respect ! Wear only BLACK SOCKS and authorized marching dress shoes ("Dinkles") with the

uniform, or approved Color Guard shoes with the Color Guard uniform ! Neatly hang coat and pants (folded along the crease) on a hanger in the garment bag ! Return all accessories after each performance (gloves, plumes, hats, etc.)

WHILE IN UNIFORM, DO NOT " Eat ANY food or beverage other than water " Chew gum " Touch or lean on any vehicle, building or object (The uniforms are EASILY soiled and

DIFFICULT to clean.) " Sit on chairs or on the ground while in uniform unless directed to do so by the Directors,

Coaches or Drum Major / Color Guard Captain

Examples of Estimated Replacement Costs for lost or damaged items Musicians’ Competition Uniform: Coat: $180, Pants: $90 , Hat: $125, Plume: $40, Gauntlets: $25, Gloves: $7, Garment Bag: $5 Guard Uniform: Uniform: $200

By initialing below I acknowledge that I have read the Uniform & Equipment Agreement, and I understand my responsibilities:

_____ Parent’s acknowledgment (initial) _____ Student’s acknowledgment (initial)

Samohi Bands Registration Packet Page# 5of 7

2018-19 VIKING MARCHING BAND & COLOR GUARD PAYMENTS & CONTRIBUTIONS

Student’s Name:

MARCHING BAND FINANCIAL PLEDGE: THANK YOU for your support of our instrumental music program. The Samohi Band program spends an average of $750 per student in Marching Band or Color Guard. This covers the costs of training, outfitting and equipping the students all year long, beginning with Band Camp and ending with the Fourth of July Parade. To help pay these costs, the Samohi Band Parents Association asks the families of Marching Band & Color Guard students to contribute $750 to the program for school year 2018-2019. Please join us in our effort to achieve 100% participation. There is no deadline for donations. All students are able to participate in all aspects of the program, regardless of their ability to contribute financially to our fundraising efforts, and there is no required minimum contribution. However, the Band needs money soon to pay instructor salaries during Band Camp (average of $250 per student to cover costs). Families who donate more than $750 will be helping to sponsor students who would otherwise not have access to this valuable experience. All donations will be acknowledged in Samohi Concert Band programs. Donations are recognized on a cumulative basis, at the levels indicated below. Please donate or make a pledge today!

Make a One-Time Contribution to the Samohi Bands:

�$1000+ Composers Circle* �$750+ Patron of Music** �$500 Benefactor � $250+ Supporter �$100+ Companion of Music �$50 Friend of Music �Other:

*A $1,000 donation covers the yearly class costs for 1 student participating in both the Concert and Marching Band programs. **A $750 donation pays for 1 student participating in Marching Band or Color Guard. MARCHING COMPETITION MEALS: This year, all marching musicians and color guard are asked to pay $50 per student to cover the costs of meals (typically dinners) at competitions, as well as snacks and water for competitions and football games. For many students, communal meals are their favorite part of marching season. Please use the back of this page to indicate any dietary restrictions or other information that we should pass on to our food planners. Please contribute to the cost of feeding your student. Contributions over $50 will be acknowledged as donations to help cover the costs of feeding our band director, staff, and volunteers. � I will contribute to help pay for meals (amount): $

� I cannot contribute to the cost of meals and snacks. MARCHING SHOES: To march in field competitions, Marching Band musicians must wear Dinkles brand marching shoes. We highly recommend that new students purchase their own pair; Dinkles cost $45, and the Band can order them for you. We have a small supply of used Dinkles, but we cannot guarantee that all sizes will be available. Your student will try the shoes on for size at the uniform fitting. Color Guard students will buy shoes from their instructor. � I will order new Dinkles and pay $45 now � I will borrow Dinkles and contribute $10

� I will borrow Dinkles, but I cannot contribute � I already have the shoes Payments for new Dinkle orders are due by Friday, September 7, 2018. If you are using cash or a check, please write checks to SMAPA-Samohi Bands, enclose this form and return it with the payment and/or donation in a sealed envelope to the mailbox in the Band Room or to

Samohi Band, 601 Pico Blvd., Santa Monica, CA 90405

Samohi Bands Registration Packet Page# 6of 7

COMPLETE, PRINT & RETURN THIS FORM SANTA MONICA HIGH SCHOOL BANDS OFF-CAMPUS ACTIVITY FORM Dear Parents, Your son/daughter is scheduled to participate in special Music Department off-campus activities, approved by the School District and supervised by parents and school personnel.

• All trips will be calendared with the school. Students will receive calendars and notices to take home regarding each trip. All trips will occur between June 1, 2018 and July 1, 2019.

• All trips will be made by walking, school bus, chartered motor coaches or vans driven by District-approved drivers. Local performances (within the City of Santa Monica) may require parent drop-off and pick-up at designated locations.

• Please sign below to give permission for your son/daughter to participate in these activities.

Santa Monica-Malibu Unified School District Off-Campus Activity Permission Form

I, the undersigned, understand that my son/daughter is to accept all rules and requirements governing conduct during off-campus activities. These rules and requirements are distributed each year to all students at the beginning of the school year and to new students upon enrollment. Pursuant to Education Code 35330, I hereby release the Santa Monica-Malibu Unified School District from all liability arising out of or in connection with all regularly calendared music field trips from any cause other than the negligence of the District or its personnel. I give permission for to participate in all regularly calendared STUDENT NAME Santa Monica High School Music Department trips/activities between June 1, 2018 and July 1, 2019. In case of emergency, please contact: Name Relationship to student Address Phone (best # to reach) Photo/Video Release: I hereby grant permission to the Santa Monica-Malibu Unified School District (SMMUSD) and to the Santa Monica Band Parents Association (SMAPA-Samohi Bands) to use freely, without compensation, photographs and video, taken by designated Band photographers, of the student named above while performing as a member of any of the Santa Monica High School Bands or Color Guard. Use of the photographs and video is strictly limited to display on the Samohi Bands website www.samohiband.com, the SMMUSD Visual & Performing Arts website, and in other media produced or authorized by Santa Monica High School (Concert Band programs, the Samohi yearbook, corporate donor websites, etc.). To protect everyone’s privacy, no names (other than those of the instructors) will be posted on the Band website or used without prior permission. Parent/Guardian Signature Date Printed/Type Name of Parent/Guardian completing this form Student Signature Date (Denotes understanding of policy)

Samohi Bands Registration Packet Page# 7of 7

COMPLETE, PRINT & RETURN THIS FORM SANTA MONICA HIGH SCHOOL STUDENT EMERGENCY CARD

Please complete all parts of this form and sign below. If your child becomes ill or is injured while on this school-approved trip, it is important that information on this card is accurate and complete. Information will be kept confidential. Student’s Full Name DOB Telephone Address City Zip � Male � Female ID# Grade 9 10 11 12 Student’s Cell Phone NAME of Parent or guardian completing this form Parent #1 WORK Phone Parent #1 CELL Phone NAME of Parent or guardian #2 Parent #2 WORK Phone Parent #2 CELL Phone STUDENT LIVES WITH: � Mother � Father � Both � Joint Custody NAME of Health Insurance Carrier Subscriber Name & ID Group # Telephone Number MediCal# Identify any health problems that your child has or may experience while away: LAST TETANUS BOOSTER (month & year): LAST MEDICAL EXAM (month & year): AUTHORIZATION FOR MEDICATION – Medication will not be given without your signature. If left blank or crossed out, medication will NOT be made available to your child. I hereby request and authorize the Chaperones to make available the following medication(s) as directed by the SMMUSD physician consultant:

Medication (cross out if you do NOT want given) Dose Frequency Parent Signature - Required

Acetaminophen (Tylenol) 325mg tablet 1 tablet if student weighs less than 100 pounds 2 tablets if student weighs more than 100 pounds

By mouth Every 4-6

hours

x

Ibuprofen (Motrin, Advil) 200mg tablet x

Diphenhydramine (Benadryl) 25mg tablet As needed for students ≥ 12 years of age: 1-2 tablets, not to exceed 300mg/24 hours x

ALLERGIES: Describe completely any allergies and/or reactions your child may have to any FOOD or MEDICATIONS. IF YOUR CHILD HAS ANY LIFE-THREATENING REACTIONS, please make sure instructions are included and treatment described (use additional pages, if necessary): Physician Address: Phone: Dentist Address: Phone: IN THE EVENT OF A MEDICAL EMERGENCY, if I cannot be reached, I hereby give consent for my child to be transported to an Emergency facility and to receive necessary medical attention from a licensed physician, practitioner or dentist. SIGNATURE of parent/guardian completing this form Date: EMERGENCY CONTACTS: If you cannot be reached, the school is authorized to release your child ONLY to the persons listed below. Please supply the names of AT LEAST 2 persons who will know how to reach you in case of an emergency. Name Relationship Address Phone - best number(s) 1. 2. 3.