Howard Bishop Bands

STUDENT INFORMATION SURVEY

(PLEASE PRINT NEATLY!)

(Last) (First) (Middle) (Month/Day/Year)

(House Number & Street) (Apt. #)

____________________________________________________________________

(City) (State) (ZIP Code)

Instant Message Screenname (if different from E-Mail): ____________________________________

I am in: (circle all that apply) Beginning Band Concert Band Symphonic Winds

Who do you live with? (circle one) Mom & Dad Mom Mom & Step-Dad Dad Step-Mom & Dad

Grandparents Other: __________________________

Parent/Legal Guardian Name (Mom) ___________________________________________________

Parent/Legal Guardian Name (Dad) ____________________________________________________

What instrument(s) do you play? ______________________________________________________

If you could switch to another instrument, what instrument would you switch to? _________________

Do you want to switch to another instrument? YES NO

Do you own your own instrument or do you need to use a school-owned instrument?

(circle one) Personal-owned School-owned

If you use a school-owned instrument, do you own your own mouthpiece? YES NO

Do you play piano? YES NO Do you take piano lessons? YES NO

Do you take private lessons on the band instrument that you play? YES NO

If you take private lessons on your band instrument, what is the name of your private teacher?

________________________________________________________________________________

Why did you join the Howard Bishop Band? ______________________________________________

________________________________________________________________________________

______ __________________________________________________________________________

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Howard Bishop Bands

PARENT INFORMATION SURVEY

Student Name: ___________________________________________________________________

(circle all that apply) Beginning Band Concert Band Symphonic Winds

PARENT/LEGAL GUARDIAN #1 (Mom)

Occupation _____________________________ Work Phone Number (____)________________

Instant Message Screenname (if different from E-Mail Address): ___________________________

Mailing Address _________________________________________________________________

(House Number & Street)

_________________________________________________________________

(City) (State) (ZIP Code)

PARENT/LEGAL GUARDIAN #2 (Dad)

Occupation _____________________________ Work Phone Number (____)________________

Instant Message Screenname (if different from E-Mail Address): ___________________________

Mailing Address _________________________________________________________________

(House Number & Street)

_________________________________________________________________

(City) (State) (ZIP Code)

Do you have any other children who are currently enrolled in a school band or have participated in a school band program in the past? ______YES ______ NO

What instrument(s) did they play? ___________________________________________________

If yes, what school? _______________________________________________________________

I would be interested in helping the Bishop Band Boosters with the following activities:

______ Alachua County Fair ______ Cookie Dough Sale ______ Yankee Candle Sale

______ Pancake Breakfast ______ Telephone Committee ______ Chaperone Committee

______ Equipment Committee ______ Hospitality Committee

I have a truck and/or van and would be willing to help transport equipment when necessary. ______YES ______NO

______ I am available to help the band directors during the school day with morning practice supervision, filing, etc.

______ I/we play a musical instrument. Which one(s): ____________________________________

___________________________________________________________________________________________________________________________________________________________

2007-2008 Howard Bishop Band

Apparel Order Form

(Make all checks payable to HOWARD BISHOP BAND BOOSTERS)

Student Name ______________________________ Band _____________________

**These items are optional and are only being made available for those parents who wish to purchase them for their child. They make great holiday gifts if you would like! The t-shirt & polo shirt are items that each band member needs to have.

Please call the bandroom at (352) 955-6996 or e-mail one of the directors if you have any questions. Ms. LaVay can be reached at Howardbishopband@aol.com and Ms. Beres can be reached at Bishopband2@aol.com.

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Bishop Bands

Dear Parent/Guardian:

In an effort to provide required first aid and medications during band activities throughout the year, we would like your permission to administer some common over the counter medications to your student should he or she require them during band activities.

In the event of serious injury or illness, first aid will be provided and parents will be contacted – please make sure we have a phone number where we can reach you in case of emergencies. In case of minor injury or illness, care will be given as indicated and parents will be notified upon our return to school.

We will be able to carry the following medications with us in a secured first aid kit:

Advil (or generic equivalent) __________

Tylenol (or generic equivalent) __________

Tums __________

Dramamine or meclizine for motion sickness/vomiting __________

Hydrocortisone Cream __________

If you do NOT want any of the items listed above to be provided to your child, please cross out and initial individual items or indicate below that you do not want any medications to be given to your band student.

In the event of illness, we will utilize non-pharmacologic measures whenever possible prior to administering medications.

If your band student has specific needs, please indicate them on this form – allergies, etc. The well being of each band member is of utmost importance to us.

This written permission form will remain in effect for the current school year unless permission is rescinded by the parent or guardian.

I, _______________________________________, give the Howard Bishop Middle School Band permission to administer first aid and/or medications as indicated above to:

_________________________________________________________.

(Band Student’s Name)

Signature of Parent/Guardian: _________________________________________________________

Date: _____________________________________

Allergies? ____________________________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________________________________________________________

The following information will be used by the Howard Bishop Band Boosters for the benefit of all band members and the Director(s). The information will remain CONFIDENTIAL within the Howard Bishop Band Boosters with the exceptions noted.

Student’s Name ______________________ Grade ___ Instrument _______________

Parent/Guardian Name __________________________________________________

Telephone Number (___)____________ E-Mail Address _______________________

Please check one for each statement:

I prefer _____ E-Mail _____ Telephone _____ US Mail as my primary means of receiving communication from and/or regarding band and/or band booster activities.

_____ I agree _____ I do not agree to have my name, address, telephone number and e-mail placed on a roster to be used by the band booster executive board and shared with booster members only. If you fail to agree/disagree above or fail to return this information to the boosters or the band director, you the parent, hereby agree to have your information listed on the 2007-08 Howard Bishop Band Information Roster.

My child _____ may _____ may not be photographed for the band to be used in media, newspaper, calendars, band web site, videos, etc.. using ONLY the students’ first name and possibly the instrument played or section. NO other personal information will be used along with any photographs published.

________________________________________________________________________________________________________________________________

Howard Bishop Middle School Bands

School-Owned Instrument Usage Contract

If your child will be using a school-owned instrument this year, it is imperative that a school-owned instrument contract is completed and returned, along with the $35.00 usage fee for the first semester. Checks should be made payable to: Howard Bishop Band Boosters. There is a very limited supply of school-owned instruments available and they are on a first-come, first-served basis (meaning the faster you turn in your usage contract and instrument fee, the better chance you will have of getting one of the instruments that is in better shape!).

Student Name ___________________________________ Band ____________________________

Parent/Guardian Name ______________________________ Phone (______)__________________

E-Mail ___________________________________________________________________________

(The directors will complete this area)

Instrument _______________________________________________________________________

Serial Number ________________________ SBAC Inventory Number _______________________

Condition: ________________________________________________________________________

Comments: ________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

PLEASE NOTE: All repairs to the school instrument are the responsibility of the student using it unless it is due to normal and tear (which will be determined by the repair professionals). Normal wear & tear does not include damage caused by: dropping the instrument, improper maintenance (i.e. stuck slides, stuck valves, frozen rotors, missing parts, bent ligatures, etc…).

By signing below, we take responsibility for the school-owned instrument that has been issued to the student listed above. We understand that the instrument will be assigned once the first semester usage fee is submitted. We also understand that another $35.00 fee will be assessed for the second semester of school for continued use of the said instrument. Additionally, we understand that it is our responsibility to maintain the instrument in proper working order. Any necessary repairs to this instrument will be our responsibility. Finally, any repairs done to the listed instrument must be authorized by the band directors and can only be sent to a repair facility designated by the band directors.

________________________________________________ _____________________________________________

Parent/Guardian Signature Date Student Signature Date

(FOR OFFICE USE ONLY)

Date First Semester Fee Received: ___________________________________________________

Method of Payment: CASH MONEY ORDER CHECK # __________________

Date Second Semester Fee Received: _________________________________________________

Method of Payment: CASH MONEY ORDER CHECK # __________________

Date Instrument Returned: ___________________________________________________________

Condition of Instrument Upon Return: __________________________________________________

___________________________________________________________________________________________________________________________________________________________

Howard Bishop Bands

BAND UNIFORM ORDERING INSTRUCTIONS

Dear Parents:

The Howard Bishop Bands have a reputation of being the most professional looking middle school band in Alachua County. Part of the way that we accomplish this is by “dressing the part”. It is now time to place your order for your child’s band uniform parts. Uniforms must be ordered through the Howard Bishop Band Boosters so that we can ensure that everyone is wearing the same uniform when we perform on stage. A representative from Tuxedo Junction will be coming to school on Wednesday, October 24^th to measure each student so there is no need to designate sizes on the order form. The form for ordering these items is below. Checks should be made payable to: HOWARD BISHOP BAND BOOSTERS.

If your child is in Beginning Band, they will need:

Girls: White Tuxedo Shirt, Black Floor Length Skirt, Flat Black Dress Shoes** (closed toe pumps), Solid Black Pantyhose**

Boys: White Tuxedo Shirt, Solid Black Tuxedo Pants, Black Tuxedo Socks, Flat Black Dress Shoes

If your child is in Concert Band or Symphonic Winds, they will need:

Girls: White Tuxedo Shirt, Black Floor Length Skirt, Flat Black Dress Shoes (closed toe pumps), Solid Black Pantyhose, Black Cummerbund & Bowtie

Boys: White Tuxedo Shirt, Solid Black Tuxedo Pants, Black Tuxedo Socks, Flat Black Dress Shoes, Black Cummerbund & Bowtie

**Please note: Girls are responsible for purchasing black pantyhose & black dress shoes on their own. These items are available at a very reasonable cost at Walmart or Payless.

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Student Name _______________________________

Beginning Band Concert Band Symphonic Winds (circle one)

Phone Number _______________________________

___________________________________________________________________________________________________________________________________________________________

Bishop Bands Practice Record

Student Name ______________________________  Band Class ___________________