Northgate Marching Band + Auxiliary Registration: The 2023 Marching Band Season registration deadline has now passed, and we are currently beginning a waiting list
Northgate High School Marching Band and Auxiliary Registration is NOW CLOSED!  

Please fill out this registration form to add your student to the waiting list, and if a spot opens up, we will reach out to you directly.

Please do NOT pay the requested MBA tax-deductible contribution of $425 through nimbconnect.org unless we reach out to you to confirm a spot has opened up, or if you had registered by June 4th and you haven't had time to make a contribution yet.

Please complete a Registration for each student individually (if you have two students registering, complete this form twice).

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Email *
Student Name: (First and Last) *
Student Grade in Fall 2023 *
Student Home Address *
Student Email *
Student Cell Phone *
Parent Name (First and Last) *
Parent Email *
Parent Cell Phone *
Parent/Guardian Emergency Contact
Primary Name:
 *
Primary phone number *
Parent/ Guardian Emergency Contact
Secondary Name:
 *
Secondary phone: *
Additional Emergency Contact (name and number):
Please list any know allergies (or N/A if none) *
Is student required to take medicine? *
If YES, names of medication and Times to be taken
Specific medical needs (N/A if none):  OR Does the student have any condition which might be the cause of a medical emergency? (ie. Diabetes, fainting spells, drug allergies, medication requirements, ect.)  fill in next questions *
Please state conditions here, if any.
Date of last Tetanus shot *
MM
/
DD
/
YYYY
Name of Medical Provider and Physician *
Insurance Carrier *
Medical Number/ Policy Number *
Medical Provider phone number: *
Choose one *
Required
If Marching Band - Instrument played: *
Marching Band Camp is August 1-8 from 8am - 3:30 pm (*August 8: 11am-8pm.)
(Week 1: Tues - Fri/ Week 2: Mon and Tues).    
Please indicate known dates you must be absent from MBA camp:
 *
Please indicate if there is any other information you want us to know: *
Tax Deductible Donation $425 has been paid (or payments have been set up) through the store on NIMBconnect.org. *
Required
Please read the following Code of Conduct agreement thoroughly.  After you and your student have read the agreement, please type both student and parent/guardian names below to indicate your acceptance of the terms outlined in the agreement. *
Please read the following Publishing Release agreement thoroughly.  After you have read the agreement, please type parent/guardian name below to indicate your acceptance of the terms outlined in the agreement.
 *
Please DOWNLOAD the following three documents: 
1. Instrumental Music Transportation Parent Permission Form, and

Please complete the two forms (ideally digitally), then print and manually sign. Please either email signed forms to Parent Coordinator, Adri Hogg at hoggfamily2-3@att.net, or drop in the Red Drop Box in Northgate's Band Room before May 31, 2023 OR hand deliver to Parent Coordinator Adri Hogg on the first day of Band Camp.

Keep the 2023 MBA Info Flyer for your information.

I have downloaded the Instrumental Music Transportation Parent Permission Form and the Medical Release Form, and I will return them to the Parent Coordinator:
 *
A copy of your responses will be emailed to the address you provided.
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