2017-18 Annual Dowling Band Registration Form
Registration Email - This primary email address will be used for webmaster communications and delivery of your band account statement.
Email address
Student Information
Student First Name
Your answer
Student Last Name
Your answer
Grade for 2017-2018
Marching Instrument
For marching, The student will ...
Concert Instrument
For concert, the student will ...
Jazz Band Instrument
For jazz, the student will ...
Middle School attended
Please list the name of the Middle School that the student attended. Please include city if not in Des Moines Diocese.
Your answer
Please list any food allergies or dietary needs
17-18 Outback Bowl Band Trip
Parent/Guardian Contact Information
Parent Guardian 1 First name
Your answer
Parent Guardian 1 Last name
Your answer
Parent Guardian 2 First name
Your answer
Parent Guardian 2 Last name
Your answer
Primary Address
Your answer
City
Your answer
Zip code
Your answer
Preferred Contact Phone
Your answer
Optional additional email
for delivery of webmaster communications to a second address
Your answer
Will this be your first experience as a parent of a Dowling band student?
Uniform Wicking T Shirt Order (Freshman and NEW BAND STUDENTS)
One uniform wicking t-shirt to be worn underneath the uniform jacket is provided at no charge for incoming freshmen and new band students. This shirt is an actual part of the band uniform. Returning band students will not receive a new uniform wicking t-shirt for the upcoming season unless one is purchased below. Please note that the uniform wicking shirts run “big” in size.
Uniform Wicking T-shirt Size
For incoming freshmen and new band students.
Additional Uniform Wicking T Shirt Order
You can order additional UNIFORM wicking t-shirts for your band student. Cost per shirt is $12.00 ($14.00 for XXL). There are occasional “back to back” marching band performances during the season which is one reason to consider purchasing an additional uniform shirt. The cost of the additional shirt will be deducted from your band account.
Indicate Size & Quantity
Quantity
Band Directory Consent
In order to facilitate communication and build community, we distribute a band directory. The information will be taken from this online registration. Unless otherwise requested, the band directory will include:
Student's name, grade, and marching instrument
First names of parents/guardians
Primary Address and Preferred Contact Number
Email address(es)
Band Directory Information
Required
Volunteer Sign-up
Volunteer Opportunities
Please indicate how your family can support the band this year. Mark all that apply.
Are you VIRTUS Trained? If so, please list names
See http://www.virtus.org for more information on VIRTUS training. VIRTUS training is one time. Chaperones are required to have a background check every 7 years. Please list the names of any adults who are VIRTUS trained.
Your answer
Thank you
Thank you for your timely submission of this information! It ensures we have everything we need for the summer band rehearsals and helps up prepare for the coming school year!

The time and talents you share with the band program are also very much appreciated!! Thank you for volunteering!!

Once this form is submitted, you will be able to download and complete the following additional PDF forms.
- Student Band/Colorguard Account Deposit
- Dowling Catholic Band Instrument Rental Policy (if applicable)
- Uniform Responsibility Agreement
- Medical Information Form

After you have clicked SUBMIT below on this registration form, please click the link on the resulting page to download and complete the additional PDF forms <PDFs: https://drive.google.com/open?id=0B9Ss6lFTIzi_eHpEeTRGdXJRa3M >.

Mail the completed, signed forms and your initial deposit for your student’s Band/Colorguard account in the form of a check made payable to DCHS Band to:
Amy Johnson
1723 Wethersfield Drive
Norwalk IA 50211

If you have any questions about the online registration process (or are unable to open the PDF forms), please contact Amy via johnsonfamilydsm@me.com or at 515-480-1412.

Have a great summer!!

A copy of your responses will be emailed to the address you provided.
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