docHigh School Band Camp - Grambling State University
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High School Band Camp - Grambling State University
Parent’s Signature__________________________________________________________________________________ Employers’ Address, City, State, Zip ____________________________________________________________________ Parents Employer ______________________________________________ Work Phone _________________________ Parents Name _________________________________________ Cell & Home Phone __________________________ Please Print Camper’s Signature _______________________________________________ Date __________________________ _____________________________________________________________________________________________ Please list health issues or restrictions we should know about: ___________________________________________ YOU MUST ATTACH A COPY OF INSURANCE CARD FOR THE STUDENT __________________________________________, general medical services, emergency treatment, and/or Please Print Child’s Name surgery as deemed necessary for the ongoing health and safety of said child by a physician and/or medical facility. I also understand that any/and all pre-existing conditions must be filed under my personal insurance. I, the undersigned, hereby grant permission to the Director of Band Camp or his designee to obtain for my child MEDICAL CONSENT FORM Director’s Name____________________________________________ Director’s Cell _________________________ Instrument ________________________________________________Grade ______________________________ City _____________________________ State __________ Zip __________ School Phone ______________________ Name of School & Address _________________________________________________________________________ Print E-mail Address _______________________________ Gender ________ T-Shirt Size _______ Date of Birth________________ City______________________________ State _________ Zip___________ Social Security No. ___________________________ Full Name ________________________________________ Address _______________________________________________ 2016 REGISTRATION FORM GRRRAAAM MB BL LIIIN NG G M B L N G G SSTTTAAATTTEEE UNNNIIIVVVEEERRRSSSIIITTTYYY U High School Band Camp July 10-16, 2016 2016 HIGH SCHOOL BAND CAMP STAFF DR. LARRY PANNELL Director of Marching Band Grambling State University pannell@gram.edu MR. MICHAEL HENDRIX Assistant Band Director Grambling State University hendrixm@gram.edu DR. EDWIN THOMAS Assistant Band Director Grambling State University thomaseb@gram.edu Dr. Nikole Roebuck Assistant Band Director Grambling State University roebuckn@gram.edu MS. JANICE COWAN Coordinator of Band Activities Grambling State University cowanj@gram.edu …and others to be selected ARTICLES TO BRING Twin Size Toilet Articles Fitted Sheet Towels Pillow/Pillowcases Soap Trash Bags Laundry Bag Housecoat Instruments Articles to bring cont… Blanket Mouth Pieces Drum Major Batons Reeds Drum Mallets Swimsuits Drums Ligatures Personal Instruments PAYMENT Cost per individual………………………….………$335 Minimum Deposit…………………………………..$100 Payment continued…… $10 Discount-10 or more students per school Make cashier’s checks and/or money orders payable to: Grambling State University Marching Band: Mail to P.O. Box 4238, GSU, Grambling, LA, 71245. Phone: (318) 274-6160 or cowanj@gram.edu Notification of deposits received will be sent via email. All others receipts will be issued upon arrival NO PERSONAL CHECKS – NO EXCEPTIONS NOTE: Toddler babies, children, etc… are not allowed to live on the campus nor allowed in the dormitory rooms. No exceptions. You will be escorted off the campus by university police. LOCATION The University is located in the City of Grambling, Louisiana. Band Camp is held in our new facility, Conrad Hutchinson, Jr. Performing Arts Center located next to Robinson Stadium. Registration will begin promptly at 10 AM. REFUND POLICY Fees are not refundable if entry is canceled after June 10, 2016. All cancel requests must be in writing via email. Cancellations before the above date will be charged a $50 processing fee AUTOMOBILE Travel interstate 20 and take Grambling exit 70 miles East of Shreveport, LA or 35 miles West of Monroe OPEN TO ELEMENTARY, JUNIOR AND SENIOR HIGH SCHOOL STUDENTS th To be eligible, you must at least be in 5 grade in Fall, 2016. AIR Purchase tickets to Shreveport or Monroe, Louisiana. Transfer to Greyhound Bus Lines to Grambling Greyhound Bus Terminal. AUXILIARY GROUP ACTIVITIES Solo Twirling Dance Units Ensemble Twirling Street Drills Drill Team Routines Drumline Routines Drum Major Workshop Flag Twirling BUS Greyhound buses unload at the Bus Terminal on the Northwest corner on the campus. MUSICAL ACTIVITIES Concert Band Marching Band Jazz Ensemble Orchestra Elem. Theory Brass Percussion Woodwind Beginner’s Band HOUSING Female Campers………………………………………………..TBA Male Campers……………………………………………………TBA MANDATORY: All chaperones/directors/parents choosing to stay the week are responsible for own lodging elsewhere and meals unless otherwise decided by the Director under extenuating circumstances. All those allowed to stay with exceptions will still be charged the full camp price. Note: With proper advanced notice, campers can be picked up from arrival locations. CAMPERS Must wear lanyards (name tags) at all times Social Hour Activities to be chosen from: Talent Show Fashion Show-No Swimsuits Allowed Movie Night Dance Game Night Swimming All attire worn must be appropriate and respectable at all times
