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8961 TESORO DRIVE San Antonio, Texas 78217 Phone (210) 804-7147, Fax (210) 804-7171 STUDENT: This form is in effect while students are practicing OUTSIDE OF THE SCHOOL DAY while on the Johnson High School Campus. Often a nurse or trainer is unavailable. This form provides the Band Director, who is trained in CPR/First Aid, permission to dispense medication. Permission for the Dispensing of Non-Prescription Stock Medications: Stock Medication for minor symptoms will be dispensed in accordance with dosages prescribed by the manufacturer. Dosages of other items or beyond what is prescribed on the packaging will not be administered. Authorization of each must be indicated with the parent/guardian signature. No signature will be interpreted as disapproval. Medications: All medications for individual students that must be taken must be brought by the student's parent/guardian to the authorized and trained district employee or authorized and trained parent (RN, LVN, MD) responsible for the student's medication. Medications must be in the original container or prescription bottle with proper labeling. All medications must have a note from the parent with specific directions in regard to dosage and times of administration. No student may have any medications (Prescription/Non-Prescription) on their person except as described below. Emergency Medications/Diabetic Medications and Supplies/Prescription Birth Control Medications: Inhalers, Epipens, Glucagon Kits, Insulin and diabetic supplies or other emergency medications and prescription birth control medications are to be provided by the parents in the correctly labeled prescription container. If requested, permission for students to carry these medications for self-administration must have written physician and parent authorization. New or completed forms that have already been submitted for this purpose at school may be obtained from the school nurse. An authorized and trained district employee or authorized and trained parent (RN, LVN, MD) will administer all medications not authorized for self-administration. Documentation of dates and times of admistration and signatures of the authorized and trained district staff or authorized and trained parent (RN, LVN, MD) will be kept on an official NEISD Medication Administration Record. I hereby certify that I fully understand the procedures/permission for the dispensing of Prescription/Non-Prescription Medications. Student Signature Date Parent/Guardian Signature Date Sunscreen Sunscreen YES NO Lotion/Spray/Stick YES NO YES NO YES NO North East Independent School District On-Campus Practice Medical Consent Form Medications Purpose Authorization Parent/Guardian Signature Anti-Inflammatory NO YES YES NO Fever/Pain Relief Fever/Pain Relief Mild Allergy Imodium AD Loperamide Hydrochlordie Tums Calcium Carbonate Diphenhydramine Hydrochloride Indigestion/Antacid Anti-diarrheal Tylenol Acetaminophen Advil Ibuprofen Benadryl CONFIDENTIAL Sign Here Sign Here Sign Here Sign Here Sign Here Sign Here Sign Here Sign Here PAGE 1

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Page 1: North East Independent School District PAGE...Canopy Setup/Takedown • Help with setup/takedown of the canopies during summer band camp Chaperone • Chaperone students at games,

8961 TESORO DRIVE • San Antonio, Texas 78217

Phone (210) 804-7147, Fax (210) 804-7171

STUDENT:

This form is in effect while students are practicing OUTSIDE OF THE SCHOOL DAY while on the Johnson High School Campus. Oftena nurse or trainer is unavailable. This form provides the Band Director, who is trained in CPR/First Aid, permission to dispensemedication.

Permission for the Dispensing of Non-Prescription Stock Medications: Stock Medication for minor symptoms will be dispensed inaccordance with dosages prescribed by the manufacturer. Dosages of other items or beyond what is prescribed on the packagingwill not be administered.

Authorization of each must be indicated with the parent/guardian signature. No signature will be interpreted as disapproval.

Medications: All medications for individual students that must be taken must be brought by the student's parent/guardian to theauthorized and trained district employee or authorized and trained parent (RN, LVN, MD) responsible for the student's medication.Medications must be in the original container or prescription bottle with proper labeling. All medications must have a note fromthe parent with specific directions in regard to dosage and times of administration. No student may have any medications

(Prescription/Non-Prescription) on their person except as described below.

Emergency Medications/Diabetic Medications and Supplies/Prescription Birth Control Medications: Inhalers, Epipens, GlucagonKits, Insulin and diabetic supplies or other emergency medications and prescription birth control medications are to be provided by the parents in the correctly labeled prescription container. If requested, permission for students to carry these medications for self-administration must have written physician and parent authorization. New or completed forms that have already been submitted for this purpose at school may be obtained from the school nurse.

An authorized and trained district employee or authorized and trained parent (RN, LVN, MD) will administer all medications notauthorized for self-administration. Documentation of dates and times of admistration and signatures of the authorized and trained district staff or authorized and trained parent (RN, LVN, MD) will be kept on an official NEISD Medication Administration Record.

I hereby certify that I fully understand the procedures/permission for the dispensing of Prescription/Non-Prescription Medications.

Student Signature Date

Parent/Guardian Signature Date

Sunscreen SunscreenYES NO

Lotion/Spray/Stick

YES NO

YES NO

YES NO

North East Independent School District

On-Campus Practice Medical Consent Form

Medications Purpose Authorization Parent/Guardian Signature

Anti-Inflammatory

NOYES

YES NO

Fever/Pain Relief

Fever/Pain Relief

Mild Allergy

Imodium AD

Loperamide Hydrochlordie

Tums

Calcium Carbonate

Diphenhydramine Hydrochloride

Indigestion/Antacid

Anti-diarrheal

Tylenol

Acetaminophen

Advil

Ibuprofen

Benadryl

CONFIDENTIAL

Sign Here

Sign Here

Sign Here

Sign Here

Sign Here

Sign Here

Sign Here

Sign Here

PAGE 1

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Page 2: North East Independent School District PAGE...Canopy Setup/Takedown • Help with setup/takedown of the canopies during summer band camp Chaperone • Chaperone students at games,

8961 TESORO DRIVE • San Antonio, Texas 78217

Phone (210) 804-7147, Fax (210) 804-7171

Father's Name: Father's Cell #:

Father's Work #:

Mother's Name: Mother's Cell #:

Mother's Work #:

The above-named student has my consent to travel to and/or from each event participated in by this organization during this school year including allerrands and activities related to duties of and assignments made to members enrolled in the Claudia Taylor Johnson High School Band class. The mode

of transportation may be NEISD or commercial bus, or a private vehicle driven by school personnel, a parent, the above-named student, or another member of the Claudia Taylor Johnson High School Band.

The student has my permission to drive a vehicle and to transport other students.

I understand that the student may not be chaperoned/supervised while enroute or while participating in some activities. Students, even though off-campus, are still subject to all school rules and regulations when participating in Claudia Taylor Johnson High School Band activities. I understand that

any student who does not conduct himself/herself properly may be (i) sent home at the parent's expense, (ii) prohibited from participating in future

activities of this organization, and (iii) subjected to other appropriate disciplinary measures.

I agree to, and hereby, release North East Independent School District and its trustees, employees, sponsors and volunteers from all legal responsibility

from liability resulting from any activities of this organization, including liability caused by or related to the negligence of any such party.

In case of emergency and with the approval of the sponsor or another NEISD employee, I give my approval and authorization for first aid treatment and

any medical treatment by local physician and/or hospital including surgical procedures. I agree to accept responsibility for payment of all charges

incurred during this medical treatment.

Additional medical information or comments:

Date: Signature of Parent:

Signature of Sponsor: Signature of Student:

North East Independent School District

Parent Travel Consent Form

2020 - 2021

ZIP Code:

Home Phone:

Grade Level:Student:

Address:

City: State:

This form must be signed and returned to the sponsor before the student will be permitted to participate in any off-campus activities of this organization.

This form consents participation in school-sanctioned activities during the 2020-2021 school year as a member of the Claudia Taylor Johnson High School Band.

Faculty Sponsor: Mr. Jarrett Lipman

CONFIDENTIAL

Sign Here

Sign Here

PAGE 2

Jarrett Lipman

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Page 3: North East Independent School District PAGE...Canopy Setup/Takedown • Help with setup/takedown of the canopies during summer band camp Chaperone • Chaperone students at games,

8961 TESORO DRIVE • San Antonio, Texas 78217

Phone (210) 804-7147, Fax (210) 804-7171

Student Name: Grade Level:

Father's Name: Home Phone:

Mother's Name:

The above-named student ("Student") has my (the undersigned parent's) consent to participate in school-sanctioned activities as a member of the Claudia Taylor Johnson High School Band with the following restrictions:

Compliance with the above-described restrictions will be the responsibility of the Student and NOT NEISD or any of it's agents, trustees, volunteers or

employees. The Student understands the above restrictions and agrees to comply with the same. Non-compliance shall be grounds for dismissal from

the organization.

Date: Signature of Parent:

Signature of Sponsor: Signature of Student:

PLEASE ATTACH A PHOTOCOPY (FRONT & BACK) OF INSURANCE CARD

1

2

3

4

5

North East Independent School District

Supplement to the Parent Travel Consent Form

2020 - 2021

CONFIDENTIAL

Sign Here

Sign Here

PAGE 3

Jarrett Lipman

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Page 4: North East Independent School District PAGE...Canopy Setup/Takedown • Help with setup/takedown of the canopies during summer band camp Chaperone • Chaperone students at games,

8961 TESORO DRIVE • San Antonio, Texas 78217

Phone (210) 804-7147, Fax (210) 804-7171

STUDENT: Date of Birth:

Insurance Coverage (Primary):

Insurance Company Policy Number

Group Number

Insurance Coverage (Secondary):

Insurance Company Policy Number

Group Number

Dental Coverage:

Insurance Company Policy Number

Group Number

Health Related Information About Student:

List allergies to food, medications, other. If none, so state.

Special Health Concerns. If none, so state.

Date of last Tetanus vaccine.

Name of student's physician: Office Phone:

Name of student's dentist: Office Phone:

Parent/Guardian Name: Relationship:

Phone Numbers: Home Work Cell

Parent/Guardian Name: Relationship:

Phone Numbers: Home Work Cell

Alternate Adult Name: Relationship:

Phone Numbers: Home Work Cell

Alternate Adult Name: Relationship:

Phone Numbers: Home Work Cell

North East Independent School District does not assume any financial responsibility, but will arrange for emergency care. By signing this form you are

giving the appropriate school personnel authority to call EMS to transport and to obtain emergency medical care.

Parent/Guardian Signature Date

North East Independent School District

Travel Consent/Health Form

Name of Policy Holder

Name of Policy Holder

Name of Policy Holder

CONFIDENTIAL

Sign Here

PAGE 4

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Page 5: North East Independent School District PAGE...Canopy Setup/Takedown • Help with setup/takedown of the canopies during summer band camp Chaperone • Chaperone students at games,

8961 TESORO DRIVE • San Antonio, Texas 78217

Phone (210) 804-7147, Fax (210) 804-7171

STUDENT:

Permission for the Dispensing of Non-Prescription Stock Medications: Stock Medication for minor symptoms will be dispensed inaccordance with dosages prescribed by the manufacturer. Dosages of other items or beyond what is prescribed on the packagingwill not be administered.

Authorization of each must be indicated with the parent/guardian signature. No signature will be interpreted as disapproval.

Medications: All medications for individual students that must be taken must be brought by the student's parent/guardian to theauthorized and trained district employee or authorized and trained parent (RN, LVN, MD) responsible for the student's medication.Medications must be in the original container or prescription bottle with proper labeling. All medications must have a note fromthe parent with specific directions in regard to dosage and times of administration. No student may have any medications

(Prescription/Non-Prescription) on their person except as described below.

Emergency Medications/Diabetic Medications and Supplies/Prescription Birth Control Medications: Inhalers, Epipens, GlucagonKits, Insulin and diabetic supplies or other emergency medications and prescription birth control medications are to be provided by the parents in the correctly labeled prescription container. If requested, permission for students to carry these medications for self-administration must have written physician and parent authorization. New or completed forms that have already been submitted for this purpose at school may be obtained from the school nurse.

An authorized and trained district employee or authorized and trained parent (RN, LVN, MD) will administer all medications notauthorized for self-administration. Documentation of dates and times of admistration and signatures of the authorized and trained district staff or authorized and trained parent (RN, LVN, MD) will be kept on an official NEISD Medication Administration Record.

I hereby certify that I fully understand the procedures/permission for the dispensing of Prescription/Non-Prescription Medications.

Student Signature Date

Parent/Guardian Signature Date

Sunscreen SunscreenYES NO

Lotion/Spray/Stick

Indigestion/Antacid

Anti-diarrheal

North East Independent School District

Medication Addendum to Travel Consent/Health Form

Medications Purpose Authorization Parent/Guardian Signature

YES NO

YES NO

NOYES

YES NO

YES NO

Fever/Pain Relief

Fever/Pain Relief

Anti-Inflammatory

Mild Allergy

Imodium AD

Loperamide Hydrochlordie

Tums

Calcium Carbonate

Tylenol

Acetaminophen

Advil

Ibuprofen

Benadryl

Diphenhydramine Hydrochloride

CONFIDENTIAL

Sign Here

Sign Here

Sign Here

Sign Here

Sign Here

Sign Here

Sign Here

Sign Here

PAGE 5

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Page 6: North East Independent School District PAGE...Canopy Setup/Takedown • Help with setup/takedown of the canopies during summer band camp Chaperone • Chaperone students at games,

Claudia Taylor Johnson High School

Volunteer Form Parent Name: _________________________________________________________

We NEED volunteers! The success of the band program is dependent on help from our parents. Please look through the list of opportunities. Indicate where you would be interested in volunteering your time and talents. If you need more information, we will be available to answer questions at the Volunteer Sign-Up Station during registration. All activities have an Executive Board Member and/or chairperson to provide help and support. THANK YOU for your willingness to help.

Association Fundraising

• Help with fundraising programs that benefit the Band Parent Association

Band Banquet

• Help in chaperoning, decorating, and organizing of our year end event

Canopy Setup/Takedown• Help with setup/takedown of the canopies during summer band camp

Chaperone

• Chaperone students at games, competitions, concerts & events Communications/Publicity

• Help with information disbursement via Slack, Facebook, Twitter, etc. Craft Fair

• Help with setup, advertising, and concessions during our Fall craft fair Crew

• Help load & unload the band trailer at games/competitions, and assist with prop construction Hospitality

• Help with serving meals, refreshments at band contests (UIL, BOA, Marching Contests) Meals

• Help in distribution of meals before football, competitions, and summer band camp Merchandise

• Help in sales & distribution of merchandise at band meetings, football games, & events Mulch

• Help with sales and delivery during our spring mulch fund raiser Photography

• Take pictures/video at football games, practices, competitions, and other events

Physician/Nurse

Available for medical assistance at games and competitions

• Help with ticket sales, running the kitchen, staffing

Annual Spaghetti Dinner

PAGE 6

Page 7: North East Independent School District PAGE...Canopy Setup/Takedown • Help with setup/takedown of the canopies during summer band camp Chaperone • Chaperone students at games,

Sign Here

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Silent Auction• Collect and request auction items, arrange items for baskets, assist with auction setup

Spirit• Help in creating posters for band hall and attend send-offs of students for competitions

Student Fundraising• Help with fundraising programs that benefit student accounts (sheets, pies, HEB Cards)

Uniforms• Help with cleaning, sewing, and measuring for uniforms

Water Crew• Help with distribution of water to students at games and competitons

Please list any other talents, skills, or resources to help the band:

__________________________________________________________________________________________

__________________________________________________________________________________________

Student Name: ____________________________________________ Grade: ________________________

Parent #1 (PRIMARY POINT OF CONTACT): ____________________________________________________

Parent #1 Mobile #: ______________________________________

Parent #1 E-Mail Address: _____________________________________________

Parent #2: ______________________________________________________________________

Parent #2 Mobile #: ______________________________________

Parent #2 E-Mail Address: _____________________________________________

Can we count on you to volunteer to help the Johnson Band?

YES

NO

Parent #1 Signature: _________________________________________________

Parent #2 Signature: _________________________________________________

PAGE 7

Parent #1 DPS Number:

Parent #2 DPS Number:

VOLUNTEERS ARE REQUIRED TO HAVE DPS CLEARANCE THROUGH THE DISTRICT. TO CHECK ON YOUR NUMBER OR OBTAIN A NUMBER VISIT HTTPS://PORTAL.NEISD.NET/VOLUNTEER

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Page 8: North East Independent School District PAGE...Canopy Setup/Takedown • Help with setup/takedown of the canopies during summer band camp Chaperone • Chaperone students at games,

PREPARTICIPATION PHYSICAL EVALUATION -- MEDICAL HISTORY 2017

This MEDICAL HISTORY FORM must be completed annually by parent (or guardian) and student in order for the student to participate in athletic activities. These questions are designed to determine if the student has developed any condition which would make it hazardous to participate in an athletic event. Student's Name: (print) Sex Age Date of Birth Address Phone Grade School Personal Physician Phone In case of emergency, contact: Name Relationship Phone (H) (W)

It is understood that even though protective equipment is worn by the athlete, whenever needed, the possibility of an accident still remains. Neither the University Interscholastic League nor the school assumes any responsibility in case an accident occurs.

If, in the judgment of any representative of the school, the above student should need immediate care and treatment as a result of any injury or sickness, I do hereby request, authorize, and consent to such care and treatment as may be given said student by any physician, athletic trainer, nurse or school representative. I do hereby agree to indemnify and save harmless the school and any school or hospital representative from any claim by any person on account of such care and treatment of said student. If, between this date and the beginning of athletic competition, any illness or injury should occur that may limit this student's participation, I agree to notify the school authorities of such illness or injury.

I hereby state that, to the best of my knowledge, my answers to the above questions are complete and correct. Failure to provide truthful responses could subject the student in question to penalties determined by the UIL Student Signature: Parent/Guardian Signature: Date:

Any Yes answer to questions 1, 2, 3, 4, 5, or 6 requires further medical evaluation which may include a physical examination. Written clearance from a physician, physician assistant, chiropractor, or nurse practitioner is required before any participation in UIL practices, games or matches. THIS FORM MUST BE ON FILE PRIOR TO PARTICIPATION IN ANY PRACTICE, SCRIMMAGE OR CONTEST BEFORE, DURING OR AFTER SCHOOL.

For School Use Only: This Medical History Form was reviewed by: Printed Name Date Signature

1. Have you had a medical illness or injury since your last checkYes o

No o 13. Have you ever gotten unexpectedly short of breath with

Yes o

No o

2. up or sports physical?Have you been hospitalized overnight in the past year? o o

exercise?Do you have asthma? o o

Have you ever had surgery? o o Do you have seasonal allergies that require medical treatment? o o 3. Have you ever had prior testing for the heart ordered by a

physician?o o 14. Do you use any special protective or corrective equipment or

devices that aren't usually used for your sport or position (foro o

Have you ever passed out during or after exercise?Have you ever had chest pain during or after exercise?

o o

o o

example, knee brace, special neck roll, foot orthotics, retaineron your teeth, hearing aid)?

Do you get tired more quickly than your friends do duringexercise?

o o 15. Have you ever had a sprain, strain, or swelling after injury?Have you broken or fractured any bones or dislocated any

o o

o o

Have you ever had racing of your heart or skipped heartbeats? o o joints?Have you had high blood pressure or high cholesterol? o o Have you had any other problems with pain or swelling in o o Have you ever been told you have a heart murmur? o o muscles, tendons, bones, or joints?Has any family member or relative died of heart problems or ofsudden unexpected death before age 50?

o o If yes, check appropriate box and explain below:

Has any family member been diagnosed with enlarged heart, o o o Head o Elbow o Hip (dilated cardiomyopathy), hypertrophic cardiomyopathy, long

o oo Neck o Forearm o Thigh

QT syndrome or other ion channelpathy (Brugada syndrome, o Back o Wrist o Knee etc), Marfan's syndrome, or abnormal heart rhythm? o Chest o Hand o Shin/Calf Have you had a severe viral infection (for example, o o o Shoulder o Finger o Ankle myocarditis or mononucleosis) within the last month? o Upper Arm o Foot Has a physician ever denied or restricted your participation insports for any heart problems?

o o 16. 17.

Do you want to weight more or less than you do now? Do you feel stressed out?

o o

o o

4. 4.

Have you ever had a head injury or concussion? o o 18. Have you ever been diagnosed with or treated for sickle cell o o Have you ever been knocked out, become unconscious, or lost

your memory?o o

Females Only trait or cell disease?

If yes, how many times? __________When was your last concussion? __________

19. When was your first menstrual period? _____________

How severe was each one? (Explain below) Have you ever had a seizure? o o Do you have frequent or severe headaches? o

oo oHave you ever had numbness or tingling in your arms, hands,

legs or feet? o o

When was your most recent menstrual period? _____________How much time do you usually have from the start of one period to the start ofanother? _____________How many periods have you had in the last year? _____________What was the longest time between periods in the last year? _____________

Have you ever had a stinger, burner, or pinched nerve? o o 5. Are you missing any paired organs? o o 6. Are you under a doctor’s care? o o 7. Are you currently taking any prescription or non-prescription

(over-the-counter) medication or pills or using an inhaler?o o

8. Do you have any allergies (for example, to pollen, medicine,food, or stinging insects)?

o o

9. Have you ever been dizzy during or after exercise? o o 10. Do you have any current skin problems (for example, itching,

rashes, acne, warts, fungus, or blisters)?o o

11. Have you ever become ill from exercising in the heat? o o 12. Have you had any problems with your eyes or vision? o o

Explain “Yes” answers in the box below**. Circle questions you don’t know the answers to.

An individual answering in the affirmative to any question relating to a possible cardiovascular health

issue (question three above), as identified on the form, should be restricted from further participation

prunt

aicl ttitihe

o inendi

r. vidual is examined and cleared by a physician, physician assistant, chiropractor, or nurse

**EXPLAIN ‘YES’ ANSWERS IN THE BOX BELOW (attach another sheet if necessary): ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Males Only 20. Do you have two testicles? _____________21. Do you have any testicular swelling or masses? _____________

Student Sport(s): BANDStudent ID:

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Page 9: North East Independent School District PAGE...Canopy Setup/Takedown • Help with setup/takedown of the canopies during summer band camp Chaperone • Chaperone students at games,

ClaudiaTaylorJohnsonHighSchool

COMPETITIVEMARCHINGBAND

2020-2021 Financial Agreement

This2020-2021FinancialAgreementhasbeenpreparedfor_________________________________.

Thepurposeofthisagreementistoprovide_______________________________withanoverviewofthecostsinvolvedin

participatingasamemberoftheClaudiaTaylorJohnsonHighSchoolCOMPETITIVEMARCHINGBAND,aprogramofferingofClaudia

Taylor“LadyBird”JohnsonHighSchoolandtheNorthEastIndependentSchoolDistrict.Inorderforthebandtofunc?on,therearefeesrequiredformembership.Below,weexplainforclarity,thefeesysteminplacefor2020-2021.

Yoursignatureonthisagreementisacommitmenttopar?cipa?onintheCOMPETITIVEMARCHINGBAND.Pleasebecertainthatyouunderstandalloftherequirementsbeforeyousignyourname.Aparent/legalguardianMUSTco-signthisagreement,regardlessofwhetherornotthebandmemberisovertheageof18.

Financialobliga<onsforthemembersofthe2020-2021ClaudiaTaylorJohnsonHighSchoolBandCOMPETITIVEMARCHINGBANDareasfollows:

I. COMPETITIVEMARCHINGBANDEnhancement/NEISDFee-$1,375.00PleasereadthroughthefinancialletterfordetailsonwhatiscoveredundertheBandEnhancementFee.

A. ScheduleofPayments

1. OPTION1–StandardScheduleDueDate Amount TotalPaidOnorbeforeFebruary1st $250 $250(NON-REFUNDABLE)OnorbeforeMarch1st $250 $500OnorbeforeApril1st $250 $750OnorbeforeMay1st $250 $1,000OnorbeforeJuly1st Balanceof $1,375

FeesDue

NOTE:Allfeesshouldbepaidbycheck,bankdracorcreditcard,payabletoJohnsonHighSchoolBand.

• BANKDRAFTS:UsetheJohnsonHSAddresswithStudentNameinMEMO

o 23203BulverdeRoad,SanAntonio,TX78259

• Topaybycreditcard,pleasee-mailtheHeadBandDirector

2. OPTION2–CustomSchedule

Custompaymentschedulesareavailablebutshouldbeagreeduponinwri?ngwiththeHeadBandDirectorpriortoJuly1,2020.

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Page 10: North East Independent School District PAGE...Canopy Setup/Takedown • Help with setup/takedown of the canopies during summer band camp Chaperone • Chaperone students at games,

B. TuitionRefunds

1. VoluntaryTermina<onofMembershipIfforanyreasonyoudecidethattheJohnsonHighSchoolCOMPETITIVEMARCHINGBANDisnotforyouandyouwithdrawbyyourownchoice,wehaveinplacearefundschedulethatisprorateddependinguponthedateoftermina?on.Pleasereadthispolicycarefully.Wewillwithholdacertainpercentageoffeespaidasdeterminedby

thedatethatyouhavechosentoterminatemembership.Realizethatthelateryoudepart,themoreseverethepenaltyduetonon-refundabletravelexpenses,consultantsalaries,andproduc?oncosts.

NOTE–alldecisionstoterminatemembershipshouldbecommunicatedthroughe-mail,fax,ormailwiththeHead

BandDirector.Thedateofdeparturewillbeconsideredthe?methatwriVencommunica?onisreceivedbyouroffice.

Theschedulebelowassumesthatyouhaveinfactpaidallfeesona?melybasis.Studentswhoarebehindin

paymentswills?llberesponsibleforpayingthefeesassociatedwiththeschedulebelow.I.E.–shouldyouterminateyourmembershipwithband;youares?llresponsibleforthepor?onofthepaymentlistedbelownexttothedatetocovercostsassociatedwithpar?cipa?on.

EnhancementFeePaymentForfeited $250 50%forfeited

WithdrawalDatePriortoJuly1st July1st–August1stA�fterAugust15th 75%forfeited

ThemoneyaboveistheamountthatwillberetainedbytheJohnsonBandtocoverthecostofnon-refundabletravel,consultantsalaries,anddrill/musicarrangements.Thelaterastudentdrops,themoremoneyisretainedtocoverexpenses.

ShouldstudentdecidetomovefromCOMPETITIVEMARCHINGBANDtotheNON-COMPETITIVEMARCHINGBANDonly,non-refundablemoneywillbetransferredtocoverthecostsofpar?cipa?oninthatensembleandnoaddi?onalfeeswouldbedue.

2. InvoluntaryTermina<onofMembership“InvoluntaryTermina?on”ofmembershipincludesremovalfromthebandprogramfordisciplinaryissues,OR

medicalrelease.Shouldlifecircumstances(i.e.lossofemployment)causeastudenttonotbeabletopar?cipate/travel,wewillmeettodiscussthesitua?oncase-by-casewitheachfamilyandouradministratortodeterminea

refundplan.Ifyourmembershipisterminatedduetogradeineligibilityorflagrantmisbehavior(destructionof

property,insubordination,fighting,hazing)youshallreceiveNOrefund.

Anyremainingbalancerefundedatthediscre<onofHeadBandDirector&CampusAdministra<on.

3. TerminationDuetoInjuriesIfastudentisinjuredandisunabletopar?cipate,wewillmeettodiscussthesitua?oncase-by-casewitheachfamilyandouradministratortodeterminearefundplan.Ifastudentisinjured,butcans?lltravel–wewillexplorethisop?on.Wewillneedadoctor’snotetoverifythemedicalsitua?on.

4. COVID-19RefundPolicyIntheeventtravelorcompetitiveplanschange,studentsmaybeen?tledtoapar?alrefundorcreditontheirpart ofthetravelfees.I.E.ifahotelroomis$100.00-fourstudentstoaroomeachpaysin$25.00.Thestudentwouldbeen?tledtoacreditorrefundof$25.00iftheovernighttripwerecanceled.Busrefundswillalsobeprorated. We areunabletorefundanypor?onsofthefeesassociatedwithstaffsalaries,designorentryfees,non-refundableuniformpurchases,equipmentexpenses,andotherfeesthatmustbepaidinadvancepriorto

theseason.

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II. VolunteerandFundraisingRequirementsA. VolunteerServiceRequirement-StaffingCraefairandBOA/UIL/TMFEventsthroughtheyear

Priorto2020-2021,eachfamilyintheJohnsonBandvolunteeredtoworkthreeathle?cconcessioneventsasamean

sofraisingmoniesfromtheband.Concessionsraisedanywherefrom$9,000atitslowestto$32,000atitshighest.I

nthespringof2020,theCTJBPAvotedtodiscon?nueworkingconcessionsduetorisingcostsanddiminishingreve

nuesfromgames,alongwiththeincreaseineventstostaff.Theassocia?onvotedtosupportsharing admission

forconcertsandsuppor?ngaddi?onalfundraisingopportuni?esthatrequiredless?meduringtheyearthanconces

sionsdid.

Inanefforttoraisefundstooffsetthelossofconcessionevents,bandfamilieswills?llberequiredtovolunteerto

staffeventsthroughtheyearincludinghos?ngUILRegion,UILArea,& BOASanAntonio.Eachbandfamilyshould

sign-uptovolunteerattheseevents.Cracfair,UILevents,& mulchdistribu?onrequirestaffingaswell.Whilethese

eventsaresignificantlylessfrequentthanconcessions,theyrequiremoremanpower.ByjoiningCompetitveBand,

familiesagreetoserveaseventstafffortheseeventsduringtheyear& helpsupporttheprogram.

B. ConcertTicketsfor2020-21Concertadmissionfor2020-2021is$10.00forgeneraladmission,$15.00forreservedsea?ng.Thisisforallbandconcerts(December,March,andMay),notincludingjazzandpercussion.Ticketsshouldbepurchasedinadvanceastherewillbelimitedsea?ngavailableatthedoor.

Wewillholdtwoorthreemulchfundraisersinthespringofeachyear.Allbandfamiliespar?cipa?ngin Competitive

Band(aboveandbeyondthenormalmarchingband)arerequiredtosellatleast20bagsof mulch towards thisfundraiser.Thisis20bagsperfamily,not20bagspermember.Anysalesabove20bags, band members will see a

%backtowardstheirstudentaccounts.The%willbebasedontotalsales across the organization.

Compe&&vebandisnotarequirementforstudentstopar&cipateinthebandprogramatJohnson.Bysingingupfor Compe&&veband,youagreetopar&cipateinstaffingvolunteereventsandpar&cipa&nginthemulchfundraiser.

III. NEISDUniformFeeIncludedinthe$1,375.00,theNEISDUniformFeeforallCompetitiveMarchingBandmembercoversuseofadistrict uniform(s)(marchingformale/female,tuxedoformaleifinWindEnsemble),4drycleaningsoftheuniforms,andcustom finngoftheuniformthroughtheseason.ColorguarduniformsarerentedandmustbereturnedbyMay1ofeachyear.

IV. InstrumentRentalFee-$35.00(onlystudentsusingschoolinstrument)TheNEISDInstrumentFeeof$35.00coversuseofschoolequipmentforthosestudentsren?ngaschoolinstrumentforthe fullyear.Instrumentfeesalsocoverbasicmaintenanceandrepair.Damagedonetobandequipmentbeyondday-to-day “wearandtear”*willresultinbillingthememberforrepaircostsincurred.DueonorbeforeJuly1st-$35.00(NOT INCLUDEDINTHE$1,375.00)*Equipmentdamageassessmentisatthediscre2onoftheBandDirectors.Equipmentwillbe evaluatedperiodicallytodeterminecondi2onandrepairneeds.

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C. Spaghetti Dinner Tickets - 4 per family, all band members

Concert admission for 2020-2021 is $10.00 for general admission, $15.00for reserved seating. This is for all bandconcerts (December, March, and May), not including jazz and percussion. Tickets should be purchased in advance as there will be limited seating available at the door.

D. Mulch Sale Requirement - 20 bags for competitive band members

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ClaudiaTaylorJohnsonHighSchool

COMPETITIVEMARCHINGBAND

2020-2021 Financial Agreement

FirstName:___________________________LastName:__________________________

Instrument/Section:_________________________________________________________

2020-2021GradeLevel:______________________________________

Parent/LegalGuardianContactName:_________________________________________________________

Iunderstandthefinancialobliga?onsofmembershipintheJohnsonHighSchoolCOMPETITIVEMARCHINGBANDandamcomminngtomembership.IunderstandthatIneedtoremaincurrentwithmypaymentsinordertomaintainmembership,andwillspeakwiththeHeadBandDirectorifanyissuesarise.

IunderstandthatthisagreementmustbeonfilebyJuly1,2020inordertopar?cipateinbandforthe2020-2021schoolyear.

Regardingthefinances,Iwillmakepayments:

□ Onthestandardpaymentschedule

□ Onacustomplan(mustbesetupwiththeHeadBandDirector)

NOTES:

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

_____________________________________________________ ________________________________Member’sSignature Date

_________________________________________________ ______________________________Parent/Guardian’sSignature Date

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