Athens Drive Marching Band Registration Form

MARCHING BAND

REGISTRATION INFORMATION
Thank you for completing this registration for the 2022 Athens Drive Marching Band season. Please be as accurate and as thorough as possible in your responses. Current Marching Band Schedule
STUDENT INFORMATION
Name *

First Name Last Name
Nick Name or Preferred Name
Gender *

Male Female
Date of Birth *

Month Day Year
Grade this Fall *
T-Shirt Size *

Small Medium Large XL 2XL 3XL 4XL
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Subdivision
What middle school did you attend?
What Year in Marching Band Will This Be For You? *

First Second Third Fourth Fifth
Marching Band Section *
Marching Band Instrument *
Class Band Instrument
Other Instruments
PARENT OR GUARDIAN INFORMATION
Mother /Parent 1 Name *

First Name Last Name
Father /Parent 2 Name *

First Name Last Name
Do you have an Additional Parents/ Guardians you would like to add?

Yes No
Parent 3 Name

First Name Last Name
Parent 4 Name

First Name Last Name
Student Lives With *

Both Parents Parent 1 Parent 2
Mother/Parent 1 Employer
Mother/ Parent 1 Work Phone
Father/Parent 2 Employer
Father/Parent 2 Work Phone
Would You Be Willing To Be a Mentor Family for a New Band Family? *

Yes No
What is the MAXIMUM Number of Families that You Would Be Willing to Mentor? *
PHONE NUMBER (recommended options have been pre-selected)
Note: REMIND for STUDENTS is a band text messaging system used to send short, last-minute reminders and schedule changes to STUDENTS (used frequently at band camp, competitions, etc.). All marching band members are automatically added to the Remind for Students Group.

REMIND for PARENTS is a band text messaging system used to send short, last-minute reminders and schedule changes to PARENTS (used frequently for band arrival updates). A minimum of one parent phone number should be added to the Remind for Parents Group.
Primary Phone *
Student Cell Phone *
Mother /Parent 1 Cell Phone *
Mother/Parent 1 Phone Options

Add to REMIND text messaging system for PARENTS
Father /Parent 2 Cell Phone
Father/Parent 2 Cell Phone Options

Add to REMIND text messaging system for PARENTS
E-MAIL (recommended options have been pre-selected)
Note: ATHENS DRIVE BAND EMAIL GROUP is the primary method of communication for everything related to the band. It is highly recommended that all students and both parents receive these emails. All emails submitted below will be automatically included in this group.
Primary E-mail *
Add Your Email
Primary E-Mail Options

Send BAND STATEMENTS to this address
Student E-mail *
Add Student Email
Student E-Mail Options

Send BAND STATEMENTS to this address
Mother/Parent 1 E-mail
Mother/Parent 1 E-Mail Options

Send BAND STATEMENTS to this address
Father/Parent 2 E-Mail
Father/Parent 2 E-Mail Options

Send BAND STATEMENTS to this address
DIRECTORY

The ADHS Band Directory is password protected and available only to band families. All students will be included in the directory. A typical entry includes: Student Photo, Student Name, Grade, Instrument(s), Address, Subdivision, Student Phone & Email, Custodial Parent/Caregiver contact information.
Would you like the above listed information in the directory

Yes, please include the above listed information in the directory No, I would like to omit items from being listed
Please OMIT the following from the listing

Address Subdivision Student Phone Student Email Custodial Parent/ Caregiver Info
MEDICAL & EMERGENCY INFORMATION
To participate in the marching band:

ALL members are required to complete the WCPSS Parental Consent & Medical Form by June 17th.

ALL NEW members are also required to complete the WCPSS Athletic Participation Form (which includes a physical completed by a physician) no later than July 15th. Returning members who have a physical on file should only resubmit if they have experienced significant health changes since the last submission.

Access all forms by visiting http://www.athensdriveband.com/forms
I will submit all required medical forms by due date *

I Agree
Does Student Have Asthma? *

Yes No
Asthma Inhaler Statement: Marching Band is a strenuous and very physical activity. If your student has an inhaler, it is the STUDENT'S RESPONSIBILITY to have it IMMEDIATELY ACCESSIBLE in the event of an asthma attack. To ensure that inhalers are immediately accessible, students may carry them in their pockets during practices, games, competitions, parades, and activities, OR give them to the medical chaperone labeled with their name. Often times, students do not bring inhalers or will carry them in their backpacks or bags, which can be half a mile or more away from the location of the band, causing an extreme delay in helpful treatment.
Asthma Inhaler Statement Agreement *

I Agree
Does Student Have an Epipen? *

Yes No
Describe the Allergy for Which the Epipen is Needed *
Epipen Statement: If your student needs an Epipen for an allergy that may be encountered during Marching Band (such as bee stings), it is the STUDENT'S RESPONSIBILITY to have the Epipen IMMEDIATELY ACCESSIBLE in the event of an attack. To ensure that Epipens are immediately accessible, students may carry them in their pockets during practices, games, competitions, parades, and activities, OR give them to the medical chaperone labeled with their name. Often times, students do not bring Epipens or will carry them in their backpacks or bags, which can be half a mile or more away from the location of the band, causing an extreme delay in helpful treatment.
Epipen Statement Agreement *

I Agree
Does Student Require Medication? *

Yes No
Medication Statement: If your student takes medication, it is the STUDENT'S RESPONSIBILITY to have the medication IMMEDIATELY ACCESSIBLE in the event that it is needed. To ensure that medications are immediately accessible, students may carry them in their pockets during practices, games, competitions, parades, and activities, OR give them to the medical chaperone labeled with their name. Often times, students do not bring medications or will carry them in their backpacks or bags, which can be half a mile or more away from the location of the band, causing an extreme delay in helpful treatment.
Medication Statement Agreement *

I Agree
List Medications *
Medical Conditions
List Surgeries or Injuries During Past 12 Months
Emergency Contact Information (in case parent or guardian can't be reached)
Contact's Name *
Contact's Relationship
Contact's Primary Phone *
Contact's Alternate Phone
FOOD ALLERGIES & SPECIAL DIETARY NEEDS
Throughout the band season and especially on competition days, meals or snacks are often included. We make every effort to accommodate food allergies and special dietary needs but require your assistance to ensure we are meeting your student’s needs.
Choose One *

Have Food Allergies or Special Dietary Needs Do Not Have Food Allergies or Special Dietary Needs
Check All That Apply *

Peanut Allergy Tree Nut Allergy Gluten Free Diet Vegetarian Diet Vegan Diet
Please let us know in the field below of any special dietary needs or specific instructions from some of our most common restaurants. Here are our typical choices:

Chick-Fil-A (original or grilled sandwich, veggie wrap)

Papa Johns / Dominos (Cheese, pepperoni, vegan pizza)

Harris Teeter or Subway Subs (turkey, ham, roast beef, veggie -- all with cheese; condiments and toppings are on the side)

For example, if your child has a peanut allergy, please let us know if your student could eat an original Chick-Fil-A sandwich, must have a grilled sandwich, or requires something different (please specify).
More Information About Food Allergies or Special Dietary Needs
PARENT VOLUNTEER OPPORTUNITIES
The Athens Drive Marching Band is a parent volunteer driven program. We would like to contact you as opportunities for volunteerism arise. Please mark as many boxes as personally apply.
Volunteer Skills

Accounting or Bookkeeping Event Planner Trip Planner / Coordinator Graphic Arts (Corel Draw, Adobe Illustrator) Photography / Videography Marketing Legal Light & Sound Technician Medical Online Forms Design Public Relations Business Owner WCPSS Employee Website Maintenance E-Mail Manager/ Moderator Social Media
Committee Interest (Yes, I would like to help out with:)

Alumni Support Banquets Chaperone Support Class Band Liaison Communications Concert Attire Concert Support End of Year Video Financial Audit Field Operations Fundraiser Support Grant Writing JAG Club Rep Marketing Meals & Snacks Medical/First Aid Mentoring Photo Directory Pit Crew Props PTSA Representative Senior Recognition SmugMug Spirit Wear Sponsorship Program Transportation Uniforms Website
Alumni Support coordinates the distribution of information about the Athens Drive High School Band Program; such as performance schedules, fundraisers and special awards the band has received. The Alumni Committee also moderates the "Athens Drive Band Alumni, Friends & Members" Facebook page.
Banquets

Will help with decorations Will help serve
Chaperone Support

Will chaperone home football games Will chaperone competitions Will chaperone after school practices Will chaperone parades Will chaperone ensemble performances
Communications

Instagram Posting Word Press Facebook Posting Twitter Posting Remind Posting Public Relations Bulletin Board Maintenance
Class Band Liasion Communicates to Booster Board wants and needs of students who participate only in class band. Disseminates booster information to these students and parents. Serves as parent contact and maintains email list of class band only students and parents.
Concert Attire

Will assist with concert attire Will help with sewing needs
Concert Support

Will monitor door entry during concert Will monitor back hall during concert Will help provide refreshments Will help serve refreshments
End of Year Video Committee produces video for Spring Banquet. Video recognizes all band seniors and includes photos from throughout the year.
Field Operations

Mow Practice Field Fertilize Practice Field Weed Treatments Maintain Lawn Mower Field Markings
Fundraiser Support

Band BBQ (pre-sale, serving, sales & delivery) Dewey's Holiday Store Coupon Book Sales (student packets & delivery) Fruit & Nut Sales (sorting & loading) Grocery Cards (discount grocery cards) Harris Teeter VIC Cards (link your card to Athens Drive Band) Let's Eat! (dinner out social fundraiser) Performing Arts & Raleigh Convention Center (PARCC) (concessions) PNC Arena (concessions) Scrip Purchases (discount gift cards) State Fair Parking (direct cars & collect parking fees) Will chair or co-chair a fundraiser Have a fundraiser idea I'd like to share
Grant Writing Research funding opportunities and write grant proposals to support existing and planned booster activities.
JAG Club Representative Attend JAG Club meetings as a band representative and report back to the Band Booster Board.
Marketing

Brochure/Flyer Design Marketing and Design Social Media Facebook Advertising Word Processing Adobe Illustrator Adobe Photoshop
Meals & Snacks

Help organize snack and drink donations for Marching Band Help pack and load meals/snacks/drinks on competition days Help serve meals at competitions Help unload meal supplies upon return to school
Medical/First Aid

CPR Certification First Aid Certification Registered Nurse Physician Will Maintain Medical Consent Forms Will Maintain Supplies for Medical Backpacks
Mentoring

Will serve as mentor to new band family Will help coordinate matching of veteran band families to new band families
Photo Directory

Will assist photographer by keeping list of students photographed (must be available during band camp check-in) Will make sure all students are photographed during band camp check-in Will help enter information in to directory database
Pit Crew

Will help move equipment on and off the field at competitions Will help move equipment on and off the field at football games Have truck/trailer/towing equipment
Props

Help design and/or build props Have carpentry tools Will help with sewing needs Will help with painting
PTSA Representative Attend PTSA meetings as a band representative and report back to the Band Booster Board.
Senior Recognition

Help organize marching seniors & parents on football field for Senior Night Help with band photos for JAG program booklet Help craft photo buttons for senior parents
SmugMug

General Photography Videography Experience with SmugMug Site Management
Spirit Wear

Spirit Wear Sales Spirit Wear Inventory
Sponsor Program

Will solicit sponsorships Will implement sponsor benefits (certificates, plaques, letters, signage, web) Will maintain sponsorship database Have Adobe Illustrator experience
Transportation

Have CDL and willing to drive a truck Have a truck and can tow a trailer Have school bus credential and will drive to and from events Have charter bus license Willing to drive band truck
Uniforms

Will help with uniform fittings Will help hand out band shirts Will help with uniforms at football games and/or competitions Will help with uniform sewing needs Will help with organization and inventory management
Website

Word Press Google Docs Website Maintenance Jotform Experience Social Media HTML GoDaddy
LOYALTY CARD LINK
Harris Teeter VIC Card #
AUTHORIZATIONS & AGREEMENTS
Note: To address specific questions or concerns about these authorizations and commitments, please email president@athensdriveband.com .
PHOTOGRAPHY AND VIDEO
Athens Drive Band Boosters has my permission to take photographs and videos of my child and to post and use those photographs and videos for band-related purposes including the band’s social media outlets, Facebook, Twitter, and Instagram.
Photo/Video Agreement *

I Agree
ATTENDANCE
Every attempt will be made to ensure my child will be in attendance at ALL marching band rehearsals and performances. I agree to notify the band director in writing as soon as possible if a serious conflict exists.
Attendance Agreement *

I Agree
FINANCIAL COMMITMENT
Please read the Marching Band Fair Share page (opens in new window) of the band's website carefully for the financial obligation details.
The Athens Drive Marching Band is primarily funded by fair share assessments and band fundraisers. We make the program accessible to students regardless of their financial situation by offering numerous ways to offset costs of participation. It’s easier than you think! Please don’t let finances stop you from joining!

In addition to our many fundraising opportunities, this season we will award a total of five $500 Scholarships towards individual band accounts for students demonstrating financial need. Applications will be accepted through June 30th.
Would you like to submit an application for one of the five 22-23 scholarships ? *

No, Financial Aid is NOT needed at this time. Yes, I would like to apply (for scholarship -- Application is located on Confirmation Email & Form Page on the website ).
We recognize that Marching Band can put a financial strain on families. We want everyone who wants to participate to be able to. We are willing to work with families to provide alternative payment options and financial assistance so that everyone can be part of it. So that we understand financial needs and can assist all families who need it, communication is essential. All financial communications are completely confidential between the family in need, the treasurers, and the presidents. Email treasurer@athensdriveband.com and president@athensdriveband.com for any questions or to provide additional information.
Please Indicate the Needed Assistance Level *

LESS than $500 $500-$1000 GREATER than $1000
Please Indicate Anticipated Dollar Amount of Needed Assistance *
To be eligible to receive financial aid, be sure to complete the Student Financial Aid form on the Forms page of the band's website (opens in new window) under Financial Assistance, and submit no later than June 10th. After the June 10th deadline, financial assistance may be limited. Once your Financial Aid form has been submitted, the amount of financial assistance awarded will be based on demonstrated financial need and the total amount of aid needed amoung band families. You will be notified by email of financial aid awards.
I have thoroughly read, on the Marching Band Fair Share page (opens in new window) of the band's website, the financial obligation details. I understand my Marching Band financial commitment and agree to pay my account in a timely manner. If my child is a returning member, I understand that my existing account must be paid in full.
Financial Agreement *

I Agree
My preferred fair share pay plan for the 22-23 season is: (review options in detail on the fair share page) *

The Convenience Plan -- Deposit + Payment due all at once The Standard Plan -- Deposit + 6 Monthly Payments from July to Dec The Volunteer Plan -- Deposit + Lower out of pocket expenses while working paid fundrasing shifts
A $200 non-refundable registration fee is needed to hold your child's position in the Athens Drive HS Marching Band for the upcoming school year. If you have more than one child in the Marching Band, the registration fee for each additional child is $160.

Please select your method of payment.
Method of Payment *
Payments are processed through PayPal using a major Credit Card or PayPal account. No PayPal account is required if paying by Credit Card. PayPal charges a fee of 2.9% + $0.30 per transaction. Please understand that we need to pass this fee on for the usage of this service. An additional $0.01 charge is added to accommodate rounding issues. https://athensdriveband.com/payments/
Credit Card or PayPal *
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Registration Fee $ 206.10

Registration Fee for Sibling $ 164.94
Deduct from Band Account *

Must have sufficient funds in your band account.
Check *

Make payable to ADHS Band Boosters and mail to PO Box 293, Cary, NC 27512
Dwolla *

After submitting form, go to https://athensdriveband.com/payments/
Already Submitted *

Registration fee has already been submitted
After submitting this form, proceed to the band's online payment site (opens in new window) to remit your payment electronically.
FINAL SUBMISSION STEPS
After submitting this form (by clicking "Submit" below), if you chose PayPal or Credit Card as your payment option, you will be directed to PayPal. Otherwise, you will be directed to the band's online payments page for instructions on how to remit your registration fee.

Please also carefully read the confirmation email and complete and turn in all required forms ASAP, especially the "Consent" form, which is due NOW.
Step 1: Enter E-Mail Address for parent completing this form. Confirmation e-mail sent to this address.
E-Mail *
Step 2: Follow Instructions in your Confirmation E-Mail.
Should be Empty:

MARCHING BAND