Download pdf - Summer Camp Registration Packet

ATHENS AREA HOMESCHOOL BAND SUMMER CAMP

REGISTRATION FORM

Students Name_____________________________________ Age/Grade___________




Parents Names___________________________________________________________

Address_________________________________________________________________

Home Phone_________________________ Cell Phone__________________________

Best Time to Call_________________ Email___________________________________

Emergency Contact #1 _____________________________________________________

Emergency Contact #2 ____________________________________________________

Person(s) authorized to pick up your student(s): (photo id will be required):

________________________________________________________________________

Signing up for (please indicate by using student(s) initial(s) next to group of intended par-ticipation):

*Beginner (no experience required)____ *Intermediate (audition required)_____

*Advanced (one year experience and audition required)_____

*Final placement in a level will be at the instructors discretion.

$35 for each student. Make check out to: Athens Area Homeschool Band

Mail to check and forms to: Jennifer Bailey 4106 Moons Grove Church Road, Danielsville 30633

Camp dates: August 17-20, 12-3pm (concert on 20th)

ATHENS AREA HOMESCHOOL BAND MEDICAL DISCLOSURE FORM

Students Name______________________________________________________________ Age/Grade___________




Does any of the students listed above have any medical conditions (i.e.) diabetes, asthma, allergies, etc.) and/or prescription medicines Athens Area Homeschool Band should be made aware of? ______ If yes, please explain: ___________________________________________________________________________________________

_________________________________________________________________________________

Does any of the students listed above have any medical condition that would prohibit full participation in the classes) that the student is enrolled in? _______ If yes, please explain: ___________________________________________________________________________________________

__________________________________________________________________________________

In consideration of participation by the undersigned in the Athens Area Homeschool Band, the undersigned hereby releases Athens Area Homeschool Band, its affiliates, employees, and agents and Central Presbyterian Church from any responsibility of liability if any of the family members incur any injury, illness or damage to personal property while participating in the program or at the concert venues.

We hereby release, hold harmless and indemnify the Athens Area Homeschool Band, its affiliates, employees, agents, and sponsors of the program as well as Central Presbyterian Church against any and all liability costs and expenses arising in any way as a result of the undersigned familys participation in the Athens Area Homeschool Band Program.

The undersigned agrees to be legally bound hereby.

PARENT SIGNATURE___________________________________________ DATE_________________

Athens Area Homeschool Band Student Photo Release Form

BAND WEB SITE PHOTOS

On the Athens Area Homeschool Band (AAHB) website we follow strict rules to ensure the privacy

and safety of the students. The site contains comprehensive information about the band, features

on band activities, band events, band support, information skills and student accomplishments.

Safety is always paramount and staff checks all content before being published on the web. Chil-

drens photos featured on the bands website are only referred to by their first names, if we feel it is

necessary to use names. AAHB prefers to keep student photos anonymous in its publications for

safety reasons.

____ Yes, you have my permission to use my childs photo.

____ No, do not use my childs photo.

COMMUNITY AWARENESS/PUBLIC RELATIONS PHOTOS

As we participate in our community, we have opportunities to provide photos of our students in

newsworthy events. Photos may be used in the newspapers, band promotions, and in band bro-

chures and fliers. Safety is always paramount and staff checks all content before being published.

Childrens photos featured in an AAHB publication are only referred to by their first names if we feel

it is necessary to use names. AAHB prefers to keep student photos anonymous in its publications for

safety reasons.*

____ Yes, you have my permission to use my childs photo.

____ No, do not use my childs photo.

Child/Childrens Name:

Parent/Guardian Signature: Date: ________________

* The only exception to this rule will be events that empower a specific student by recognizing a

great achievement. In such an event, AAHB will notify the parent and student to ask for permission

to use his/her last name in a printed publication such as a local newspaper. AAHB will never use a

last name of a minor on the website.