High School Band Application Form

High School Band Application Form

Simple application and consent form for high school band. This also includes payments for t-shirts and other required materials to join the band. Useful for education. Form Preview
Lincoln East Band Forms
  • Lincoln East Band Information, Consent, Contribution and Uniform Order Form

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  • Student Application for Participation

  • This application to participate in interscholastic activities for the Lincoln Public Schools is entirely voluntary on my part and is made with the understanding that I have read the eligibility rules and regulations of the Nebraska School Activities Association and the rules and regulations of the Lincoln Public Schools and I am not in violation of such rules.

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  • PARENTS’ CONSENT RECORD FOR PARTICIPATION IN ACTIVITIES

    Department of Athletics and Student Activities
    Lincoln Public Schools

    The activities program of the Lincoln Public Schools is considered an integral part of the total educational program. Pupils participate of their own accord and with parents' knowledge and consent.

    THESE ARE LINCOLN PUBLIC SCHOOLS MINIMUM STANDARDS. INDIVIDUAL HIGH SCHOOL REQUIREMENTS MAY VARY. PLEASE CHECK WITH THE SCHOOL YOU WILL BE ATTENDING FOR THEIR REQUIREMENTS.

    Lincoln Public Schools Rules

    Expectations, rules and regulations of student conduct and behavior (Extracurricular Activities Code of Conduct ) can be accessed through the LPS Website under “Popular Pages” and also in the LPS Policy Manual, Policy # 6740 (also found under Popular Pages on the LPS website). A copy of the Extracurricular Activities Code of Conduct may also be obtained upon request in the office of the Director of Athletics or from the High School Associate Principal in charge of Activities.

    Parents and students are expected to become familiar with the entire Code of Conduct. Inappropriate conduct, as defined in these documents, shall constitute grounds for suspension from practices, participation in interscholastic competition or other participation in extracurricular activities.

    Failure to report for the activity at the beginning of each season could result in the student’s exclusion from that activity; reporting for one activity may count as reporting on time if there is a change in activity within the season as approved by the sponsor or coach.

    Students participating in interscholastic athletics are required to have a physical examination once each year, completed after May 1 of the current school year, which certifies the athlete is physically able to participate in interscholastic athletics. In accordance with LPS Form 526009 (Physical Examination Requirements) Lincoln Public Schools does not accept a physical examination completed by a chiropractor.

    All students who participate in a credit bearing regular class or in student activities/athletics for which the district extra standard service stipend is provided to teachers/sponsors/coaches are: a) required to have on the school records credit for twenty hours of school work for the immediate preceding semester to participate and b) must be taking twenty credit hours of instruction per week from the Lincoln Public Schools during the semester of participation. Students enrolled in schools with modular scheduling are required to be enrolled in a minimum of 15 credit hours per quarter and must also pass a total of 20 credit hours the previous semester. In the case of unusual circumstances, the participant, guardian or representative may discuss the matter with the appropriate school personnel and seek a waiver from this regulation for activities not under the rules and regulations of the Nebraska Schools Activities Association.

    In the case of an alleged infraction of the Code of Conduct, the participant may be suspended from practice, participation in extracur- ricular activities of a selected class or interscholastic competition. In any case the procedures for suspension, (regulation 6740.1) will be followed.

    The Code of Conduct found through the LPS Website (as listed above) lists MINIMUM standards. Individual High School requirements may vary. Please check with the school where you will be attending for their requirements.
    These rules are supplemental to Lincoln Public Schools policies 5480, 6720 and 6721 and any action taken hereunder may be in addition to any action taken under these policies.

  • Due Process for Extracurricular Activities

    Students may be suspended by the principal or his/her designee from practices or participation in interscholastic competition or par- ticipation in co-curricular activities for violation of rules and standards of behavior adopted by the Lincoln Board of Education or the administrative staff of the school.

    If a participant, the student's parents or guardian are not satisfied with the determination by the activity sponsor or coach, a hearing may be requested. However, the student will remain suspended from the activity pending the outcome of the hearing.

    Procedures which will be followed with regard to suspension are contained in Lincoln Public Schools Policy and Regulation manual; Regulation 6740.1. A copy of this regulation may be obtained by contacting the Lincoln Public Schools activity office.

    Additional procedures for due process for long- term suspension, expulsion or mandatory reassignment are found in Lincoln Public Schools Policy and Regulation manual; Regulation 5481.

    Nebraska School Activities Association Rules

    In order to represent a Nebraska high school in interscholastic competition, a student must abide by eligibility rules of the Nebraska School Activities Association. A sum- mary of the major rules is given below. Contact the principal or activities director for an explanation of the complete rule.

    If you do not understand a summary of these rules listed below or you need an explanation of other requirements, consult the high school principal or athletic director.

    • Student must be an undergraduate.

    • After a student's initial enrollment in grade nine, he/she shall be ineligible after eight semesters of school membership beginning with his/her enrollment in grade nine.

    • Student is ineligible if 19 years of age before August 1 of the current school year. (Students in grades 7 or 8 may participate on a high school team if he/she was 15 years of age prior to August 1 of current school year.)

    • Student must be enrolled in some high school on or before the 11th day of the current semester.

    • Student must be enrolled in at least 20 hours per week and regular in attendance, in accordance with the school’s attendance policy at the school he/she wishes to represent in interscholastic competition.

    • Student must have been enrolled and received 20 semester hours of school the immediate preceding semester.

    • Guardianship does not fulfill the definition of a parent. If a guardian has been appointed for a student, the student is eligible in the school district where his/her natural parent(s) have their domicile. Individual situations involving guardianship may be submitted to the Board of Control for their review and a ruling.

    • A student entering grade nine for the first time after being promoted from grade eight of a two-year junior high, or a three-year middle school, or entering a high school for the first time after being promoted to grade ten from a three-year junior high school is eligible. After a student makes an initial choice of high schools, any subsequent transfer, unless there has been a change of domicile by his/her parents, shall render the student ineligible for ninety school days. If a student has participated on a high school team at any level as a seventh, eighth, or ninth grade student, he/she has established his/her eligibility at the high school where he/she participated. If the student elects to attend another high school upon entering ninth or tenth grade, he/she shall be ineligible for ninety school days.

    • Student eligibility related to domicile can be attained in the following manners:

    • If the change in domicile by the parents occurs during a school year, the student may remain at the school he/she is attending and be eligible until the end of the school year or transfer to a high school located in the school district where the parents established their domicile and be eligible.

    • If the parents moved during the summer months and the student is in grade twelve, the student may remain at the high school he/she has been attending and retain eligibility.

    • If a student has been attending the same high school since initial enrollment in grade nine, he/she may retain at that high school and retain eligibility, or he/she is eligible at a high school located in the school district where his/her parents established their domicile.

    • If the parents of a student change their domicile from one school district that has a high school to another school district that has a high school, the student shall be eligible immediately in the school district where the parents established their domicile.

    • Transfer students who have their Enrollment Option applications signed and filed prior to May 1 shall be eligible immediately in the fall. Those students who do not have their Enrollment Option applications signed and filed prior to May 1 shall be ineligible for ninety school days, with such transfers being subject to hardship waiver guidelines.

    • Other non-enrollment option transfer students must have signed and delivered all forms necessary to make such transfer to the school in which he/she intends to enroll for the next school year prior to May 1; for the student to be eligible, the school to which the transfer is being made must have notified the NSAA office in writing, postmarked not later than May 1. Those students who did not have their enrollment forms signed, delivered and accepted prior to May 1, shall be ineligible for ninety school days, with such transfers being subject to hardship waiver guidelines.

    • Once the transfer papers have been signed, filed and the NSAA has been notified, the student could complete that year of eligibility in the school the student was leaving. The student would, however, become ineligible for ninety (90) school days the next fall if the student were to change his/her mind and decided not to transfer.

    • Once the season of a sport begins, a student shall participate in practices and compete only in athletic contests/meets in that sport, which are scheduled by his/her school. Any other competition will render the student ineligible for a portion of, or all of, the season in that sport. The season of a sport begins with the first date of practice as permitted by NSAA rules.

    • During the season of a particular sport, athletes participating in that sport for a high school may attend, but may not physically take part, either as an individual or as a member of a team, in the sport activity in which instruction is being offered in the clinic, camp or school.

    • A student shall not participate on an all-star team while a high school undergraduate.

    • A student must maintain his/her amateur status.

    • A student shall not participate in a contest under an assumed name.

  • Eligibility Determinations

    The Director of Athletics/Student Activities or his/her designate, hereinafter the "Director," shall act as the member school and the Superintendent's designate and shall conduct the initial investigation and shall make the initial determination and declaration of eligibility or ineligibility for students to represent a member school in inter- scholastic competition in those activities which are under the jurisdiction of the Nebraska School Activities Association, hereinafter "NSAA." Any questions, problems, or issues by building level athletic directors, coaches, or sponsors regarding a student's eligibility shall be referred to the Director for initial determination. After initial investigation, the Director shall issue an initial written determination of eligibility or ineligibility. If the initial determination is that the student is ineligible, the director shall issue a notice of ineligibility. If, within five (5) days, after the initial determination, the Director receives a written request from such student, the member school shall sponsor an appeal on behalf of the student declared ineligible to the Executive Director of the NSAA for a hardship waiver in accordance with NSAA procedure. If the decision of the Executive Director of the NSAA is unfavorable to the student, the member school shall continue to sponsor an appeal on behalf of the student to the Board of Control in accordance with NSAA procedure.

    Athletic Information

    If the student, parents, coach, or athletic trainer feel that the student is not in good physical condition, participation will not be permitted. The school principal and/or athletic director will be notified of the student's physical condition if there is a question regarding participation.

    In case of injury received either in practice or in a game, the Board of Education will endeavor to furnish temporary first aid only. The school cannot perform or be held responsible for any medical attention which might be required, nor can it assume or be liable for loss or damage suffered by reason of injuries to pupils. If, in case of injury, the parent or the family physician cannot be located, the staff is authorized to use their best judgment in obtaining competent medical care and service. Parents are obligated to pay for professional medical and/or related services; the school shall not be liable for the payment of such services.

    Insurance coverage is recommended for all participants at parents' expense. Parents are urged to purchase the accident coverage they prefer. The Board of Edu- cation and the Nebraska School Activities Association require each student who participates in any phase of the athletic program to have an annual physical examination to be given after May 1 of each year. This certifies that the athlete is qualified for the entire school year: June 1 through the following school year. Physical Examination reports, Parents' Consent Record and Emergency Information report forms MUST all be completed and returned to the school athletic director.

    Caution

    Participation in these activities involves the potential for injury which is inherent in all sports. Even with the best coaching, use of the most advanced protective equip- ment and strict observance of rules, injuries are still a possibility. On rare occasions these injuries can be so severe as to result in total disability, paralysis, or even death.

    A Statement on Transportation Relating to Student Activities

    It is important that parents be aware of the types of transportation which may be used in connection with the athletics program of the Lincoln Public Schools.

    1. High school students are transported from the school to participate in other cities and returned to the school after the event.

    2. Students may be expected to find their own transportation to and from the event in town.

    3. Students that are transported to events are to travel to and from the events on school provided transportation. Parents or guardians may submit advance written request to have a parent personally pick up their student only.

  • I hereby give my consent for

  • to participate for Lincoln East High School in activities approved by the Lincoln Public Schools.

     

    I/we realize that participation involves the potential for injury which is inherent in all sports. I/we acknowledge that even with the best coaching, use of the most advanced protective equipment and strict observance of rules, injuries are still a possibility. On rare occasions these injuries can be so severe as to result in total disability, paralysis, or even death.

    I/we acknowledge that I/we have read and understand this warning.

    I/we have read the rules of eligibility pertaining to activities participation and acknowledge and understand the purpose and content thereof, including the parent domicile, student transfer and eligibility crediting rules.

    I/we acknowledge that parents are obligated to pay for professional medical and/or related services; the school shall not be liable for payment of such services.

    I/we acknowledge that parents are obligated to pay for professional medical and/or related services; the school shall not be liable for pay- ment for such services. The signing student and the undersigned Parent/Guardian gives permission to any and all of the student’s health care providers to release and discuss all records and information such health care providers may have about the student (including otherwise confidential medical information and records) to Lincoln Public Schools and its employees, staff, agents, and consultants. The signing student and the undersigned Parent/Guardian further gives permission to Lincoln Public Schools, its employees, staff, agents, and consultants, to release and discuss all records and information it has (including otherwise confidential medical information or records) to the students health care providers. I understand that this release has been requested and may be used for the purpose of determining eligibility pertaining to activities participation, fitness, injury, injury status, or emergency.

    I/we acknowledge that insurance coverage is recommended for all participants at parents' expense, and insurance information is available in the Athletic Director's office and/or in the main office of the school.

    I/we acknowledge that all activity participants are required to have on school records a minimum of 20 hours credit for the immediate preceding semester, must currently be taking 20 credit hours of instruction each week and that some Lincoln High Schools requirements are greater than this minimum. We also acknowledge students enrolled in schools with modular scheduling are required to be enrolled in a minimum of 15 credit hours per quarter and must also pass a total of 20 credit hours the previous semester.

    I/we understand the activity may be conducted at a location other than the student's school of attendance. The school and district will not provide transportation between the school of attendance and the site of the extra-curricular activity.

    I/we also understand transportation to the site is the responsibility of the student and/or parent/guardian, and may involve transportation by a private vehicle driven by others.

    I/we understand good sportsmanship is essential to the success of any athletic program. It is also understood that inappropriate behavior at any Lincoln Public Schools contest may result in removal from the contest and may result in suspension from attending future contests.

    I/we give our permission for academic information including grade point average, class rank and any academic awards/recognition re- ceived by the student/athlete to be released for the purpose of recognizing excellence in both athletics and academics. Most typically this information will be used by newspapers, school publications and for awards banquets or assemblies, all-conference or all-state awards.

    I/we understand and agree that participation in NSAA sponsored Activities is voluntary on the part of the student and is a privilege.

    I/we consent and agree to our student being photographed, video taped, audio taped, or recorded by any other means while participating in NSAA activities and contests, consent to and waive any privacy rights with regard to the display of such recordings, and waive any claims of ownership or other rights with regard to such photographs or recordings or to the broadcast, sale or display of such photographs or recordings.

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  • PARENT PERMISSION FOR FIELD TRIPS

    My son/daughter has permission to participate in Band field trips sponsored by Lincoln East High School. I acknowledge that transportation for these trips will be by:

    • Bus transportation (for Large Ensembles) or
    • Car transportation (for small and in Lincoln performances)

    No student is required to participate in field trips which are not taken in school buses.

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  • THIS SECTION MUST BE COMPLETED IN ORDER FOR A STUDENT TO DRIVE TO A FIELD TRIP

    Students are not permitted to be the driver to a field trip without a statement, signed by the parent, that the automobile driven meets the minimum required liability insurance. The primary insurance coverage will reside with the driver, not Lincoln Public Schools.

    The insurance on the car the student will be driving complies with state law which is not less than $25,000 for one person, $50,000 for more than one person and $25,000 property damage.

    You are required to email a copy of your current insurance card to eastbandforms@gmail.com

  • I hereby give my consent for

  • to have permission to drive a car and transport other students if needed.

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  • CONTRIBUTIONS & BAND APPAREL

  • Contributions:
    LPS funds only a small portion of the actual cost for Band.
    A successful music program takes a great deal of financial support, and the Band Boosters intend to supplement the District allotted budget where needed. To ensure the continued success of our Band program, families are asked to make a minimum $90.00* contribution for expenses including:   

    Busing to/from competitions           Marching Band Field Show Music & Drill
    Instrument purchases                     Lunch, Water, Snacks for Competitions
    Clinicians for Band Camp                Band Scholarships
    Equipment Truck Rental/Fuel                   

    * Fundraising Opportunities are available for those families wishing to make this contribution through fundraising. Please speak with a Board Member to make arrangements.

    Band Apparel Items:
    All items listed on the order form are part of the Band uniform and required for participation in Marching Band. Items can be purchased new or used from previous students. If your student qualifies for Free or Reduced Lunch, financial assistance may be available, for the gloves, shoes and white T-shirt, from LPSDO. The Dri-Fit Polo and Black Shorts do not qualify for the fee waiver. Please see Mr. Thorpe for information.

    Band Shoes: Shoes can be worn for Marching, Concert, Symphonic and Wind Ensemble Bands performances. Shoe size will be measured at Band Camp in July. Shoes ordered after Band Camp will be assessed an additional shipping charge of $13.00 per pair.
















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  • *Minimum request of $90.00 to support your student. The Lincoln East Band Boosters is a 501(c)(3) organization. Contributions are tax deductible.

  • **If you qualify for free or reduced lunch for the 2015-2016 school year you will only purchase the dri-fit polo and black shorts (if needed) on this order form at your own expense. The gloves, white shirt, and shoes should be ordered on the printable paper form and mailed to the East Band Boosters noting that a fee waiver application has been sublmitted. In order to have these items covered in the fee waiver, all associated paperwork is submitted by the deadline of June 5.

    Please uncheck these boxes above, so you are not charged for these items when you check out.

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