Naugatuck High School Band Permission & Medical Information Form
I hereby give my permission for the below named student to fully participate in all marching band program rehearsals and performance, as listed on the NHSMB website calendar.

By submitting the information below, you are committing to the 2019-2020 marching band season, including all related financial obligations. You are confirming you will abide by all rules and agree to all policies stated in the 2019-2020 band handbook.


This completed form is due Wednesday, June 19, 2019.

Email address *
Student Last Name *
Your answer
Student First Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Student EMAIL Address
Your answer
Student CELL Phone
Your answer
Instrument/Section *
T Shirt Size *
School Attending *
Your answer
High School Graduation YEAR *
Your answer
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