2018 Medical Release & Permission Form

This form is to be completed by a parent/legal guardian of the participant.

All information will be kept in a secure file during the 2018 JMU Summer Band Camps, and will only be used in case of an emergency.

    Participant Information

    This is a required question
    Please capitalize the first letter of your name.
    This is a required question
    Please capitalize the first letter of your name.
    This is a required question
    Must be a valid email address
    This is a required question
    This is a required question
    This is a required question