Sherando Band Registration/Medical Information (for 2024-2025)
This form is to collect information for the 2024-2025 Sherando High School Band Department.  If you intend to sign up for Band for the 2024-2025 school year, please make sure that you have Concert Band/Marching Band (Concert Band I), Concert/Marching Band (Concert Band II) or Symphonic/Marching Band (Concert Band III) on your high school schedule at SHS.  

If you have questions, please message Mr. Cosner at cosnerjo@fcpsk12.net, Mrs. Kilkus at kilkuss@fcpsk12.net, or talk with your school counselor.
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Email *
Student Last Name: *
Student First Name: *
Parent/Guardian Name(s) *
Please enter your first and last names.
Instrument/Section: *
Rising Class *
For 2024-2025
I would like to borrow an instrument if available. *
Mailing Address  *
Physical address, NOT email address
Home Phone (if any) *
Parent Cell Phone: *
Student Cell Phone *
If not applicable, type "none"
Parent Email Address(es): *
Receive the weekly "Band Booster Email Newsletter", which is vital to communication about upcoming events and information.  List as many email addresses as you would like.

NOTE:  Please *DO NOT* use your school email address, use a personal email address if at all possible.
Student Email Address(es): *
Receive the weekly "Band Booster Email Newsletter", which is vital to communication about upcoming events and information.  List as many email addresses as you would like.

NOTE:  Please *DO NOT* use your school email address, use a personal email address if at all possible.
Newsletter Opt In *
I would like to receive the weekly "Band Booster Email Newsletter", which is vital to communication about upcoming events and important information.  We will use the emails given above. You may opt out at any time.
Band Fee Option *
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Student Shirt Size
*
For 2024-25 Show Shirt (Included with Band Fee)
Additional Show Shirts
Want to purchase additional 2024 show shirts?  Please clearly write the size and quantity of each size here:
(example - Size: L  Quantity: 2) Designed and produced by vendors right here in the Shenandoah Valley!
Additional Show Shirts are $20 each paid to SHSBBA at time of pick up.  

Emergency Contact
*
In the event that I cannot be immediately contacted, the following individuals are authorized to act on my behalf:  (Please list the individual's NAME, PHONE, and relationship to student's family)
Allergies or Dietary restrictions 
*
(Type "none" if there are none.)
Medications
*
Please list any medications taken: (Type "none" if there are none.)
OTC Medicine Permission
*
If considered necessary by the directors or chaperones during band trips, my child may be given appropriate over-the-counter medications such as pain relievers, antihistamines, decongestants, upset stomach relief, etc.
Medication to NOT give
My child should NOT be given the following OTC medications:
Additional Information *
Please use this section to communicate any additional information that you wish for us to have, such as current injury situations, chronic conditions, anxiety, etc. (Type none if there are none.)
Volunteer Interest *
Through ways both large and small, parent volunteers are what make a huge difference to our students' success throughout the year. I am interested in volunteering with the band and I would like to be contacted by the Boosters for more information. 
A copy of your responses will be emailed to the address you provided.
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