2017 Perry Hall High School Marching Band Camp Counselor Registration

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1 2017 Perry Hall High School Marching Band Camp Counselor Registration If you are reading this packet then you have the opportunity to carry on your legacy by becoming a marching band counselor. Graduates of the Gator Marching Band become counselors in the summer after graduation. This is an opportunity to say your last goodbyes to your friends and leave your mark on the next marching band. The first day of camp is July 24, 9am to 5pm and it is for Percussion, Color Guard, ALL Freshmen, and Section Leaders. The rest of the week is July 25 July 28 for all members. The day-to-day schedule is outlined on the schedule included in this packet. Everyone will learn the basics of marching and performing, as well as memorizing music and/or routines. As a counselor, you will need to help out during at least one of the days of the first week of camp. Jobs including getting water, getting ice, managing the Spirit Board, assisting in sectionals (possibly), and generally being available to run any last-minute errands. This time is also important for you to get to know the staff and the students and for them to get to know you. The second week of camp is July 30-August 4. week starts off with two full days and two half days at Camp Ramblewood in Darlington, MD. Due to the rising costs of Ramblewood, we are reformatting the counselor roles and responsibilities. You will still design, manage, and run the evening events including Gator Games and movie night. However, each day you will need to arrive at camp after dinner (around 6pm), spend the night in the counselor cabins, and have breakfast the following morning. After breakfast, you will need to leave campus. One person will be designated as Lead Counselor to assist in communication and planning, but all counselors must attend a summer meeting to assign duties and set expectations. The meeting will be held on Monday, July 24 th at 12:30pm. Please contact Mr. Engel ASAP if you cannot attend that meeting. Counselors who will only be able to assist during the first week will not need to pay a fee. Those that are taking advantage of the full experience and will come to Ramblewood will need to cover the cost of food. The fee is $50 and should be turned in with your registration on Monday, June 5. Medical forms need to be completed if you are staying with us at Ramblewood and are due by the start of band camp. Please pay by check or money order, payable to Perry Hall Band Boosters. Cash is not acceptable. Be sure to write the student s name on the check. During the school year, the marching band rehearses from August through early November from 6:00-8:30 p.m. on Mondays and Wednesdays. Even though you will likely be busy at college and in the workplace, we welcome you to come back and check on us periodically to see how we re doing! If you have any questions about the marching band at Perry Hall High School, please feel free to call us at or us at or We look forward to seeing you at band camp! Sincerely, Scott Engel and Ken Kupyak, band directors

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3 Personal Information and Registration Student s Name Graduating Year 201 Street Address City Zip Code Parent/Guardian Names Home Phone Work Phone Parent Contact Information Student Contact Information address: address: Cell phone: Cell phone: I understand that all Baltimore County Public School policies will be in effect during any band activity. Since this is a school function, I agree to comply with these rules at all times and to contribute to the group in a positive manner. I understand that inappropriate behavior or violation of BCPS policies or those in the band handbook may result in termination from counselorship and immediate dismissal from all activities related to the Perry Hall High School marching band. Student Signature Date Parent Signature Date

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5 Personal Information Perry Hall High School Marching Band Medical Form Student s name Parent/Guardian Name(s) Home Phone Cell Phone Work Phone Home Address (incl. Zip Code) Age Grade Emergency Contacts Family Physician Phone - - Emergency contacts Phone - - Relationship Cell - - Medical Insurance Does student have insurance through parent employer or personal insurance? Medical Insurance Carrier Policy Number Health History and Allergies Health History: (check) Explain on back Allergies: (list) Diabetes Medications: Foods: Orthopedic Problems Asthma Epilepsy Latex: Insects: Cardiac Problems Anaphylaxis Yes / No Has your child had a tetanus shot in the past 10 years? Yes / No Date: / / Does your child have any special needs or medical considerations we need to be aware of? If yes, please explain. Does your child require and special accommodations (IEP/504 plan)? If yes, please explain. Does your child take daily prescribed medications? If yes, please list.

6 HEALTH CARE PROVIDER S ORDER FOR MEDICATION This side to be completed by Health Care Provider Dear Health Care Provider: Your patient will be participating in marching band camp at Perry Hall High School and Camp Ramblewood from Monday, July 24 th to Friday, August 4 th. There will be a nurse in attendance during this time. Students will spend most of their time outside. Please indicate below any prescription and/or over-the-counter medications that your patient is currently taking, will need to continue to take, and/or will need to start taking while participating. Student s name (print) To be completed by the Physician: Medications/Treatments Dosage/Frequency of Administration Date of Birth Circumstances/symptoms for administrations Diagnosis *The above chart MUST include any over-the-counter medication including medicines like Acetaminophen (Tylenol), Ibuprofen (Advil), Antacids (Tums), Diphenhydramine (Benadryl), Cough Drops, Throat Lozenges, Dramamine, etc. Without written approval from a doctor, the attending nurse(s) may NOT dispense any medication.* Signed by prescribing health care provider: Date:

7 Perry Hall High School Marching Band Medical Acknowledgement Confidentiality Statement: By law, all knowledge of student medical information and health forms are kept confidential by medical personnel and BCPS employees. Prescribed and OTC Medications: All prescribed and over-the-counter medication is to be turned into the attending Registered Nurse on the morning of departure for Camp Ramblewood. All medication at Camp Ramblewood is to be kept in the possession of and administered by the attending Registered Nurse. Parent s Authorization: This health history is correct and complete to the best of my knowledge and the student herein described has my permission to engage in all activities, unless otherwise noted by myself. I give permission to the physician or hospital selected by Scott Engel or Ken Kupyak to hospitalize, secure proper treatment for, and to order medications, injecting anesthetics or surgery for my child as named above. I acknowledge that any financial obligations as a result of the above actions are my responsibility. I also hereby give my permission for the nurse in attendance to administer medication during the field trip to my child as delegated by the staff noted above. Student name: Parent name (print): Parent signature: Date:

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9 Perry Hall High School Marching Band Schedule (Summer) Summer Mini-camps DATES EVENT MEMBERS NEEDED TIME LOCATION June 24 (Saturday) June (Saturday- Sunday) July 19 (Wednesday) July 22 (Saturday) July (Saturday- Sunday) August 23 (Wednesday) Color Guard Camp 1 Percussion Weekend Camp 1 Mini-camp Color Guard Camp 2 Percussion Weekend Camp 2 Color Guard members Sat.: 1pm 6pm Percussion members Band proper (WW and Brass) Sat.: 1pm 6pm Sun.: 1pm 6pm 10am 3pm Student Leaders: 9am Color Guard members Sat.: 1pm 6pm Percussion members Sat.: 1pm 6pm Sun.: 1pm 6pm Full camp All members 9pm 9pm* Summer Band Camp DATES EVENT MEMBERS NEEDED TIME LOCATION July 24 (Monday) July 24 (Monday) July 25-July 28 (Tuesday-Friday) July 30-August 2 (Sunday-Wednesday) August 3-4 (Thursday-Friday) Camp Week 1: Day 1 ROOKIE FUN NIGHT! ROOKIE PARENT NIGHT! Camp Week 1: Day 2-5 Camp Week 2: Day 1-4 Camp Week 2: Day 5-6 Drum Majors, Section Leaders, All New Members, Color Guard, and Percussion Drum Majors, Section Leaders, All New Members All New Marching Band Parents Everyone Everyone Everyone 9am 5pm 5:30pm 7:30pm 5:30pm 7:30pm Tues & Fri: 9am 5pm Wed & Thurs: 9pm 9pm* Sun: 12pm, band stays overnight Wed: return to around 4pm Thurs: 9am 9pm* Fri: 9am 1pm Parent Show: 6pm Perry Hall High School () Camp Ramblewood * - the 9am-9pm rehearsal days will include a break from 4:30pm to 6:45pm when students may go home to eat dinner and rest before evening rehearsal

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