Bellaire Band Camp. July 25 th 29 th. 3. Summer uniform order form (woodwind, brass, percussion only) Return forms to Mrs. Hawkins by: April 18 th

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1 Bellaire Band Camp July 25 th 29 th Enclosed you will find the following band camp information: 1. Parental permission form 2. Emergency medical form 3. Summer uniform order form (woodwind, brass, percussion only) Return forms to Mrs. Hawkins by: April 18 th *All fees, including uniform and camp fees, must be paid before July 8 th. Once again, band camp will be held July 25 th to July 29 th. The cost for band camp is $ the price of the new shorts, which is to be determined. The daily band camp schedule, summer schedule, and fall schedule are also included in this packet. The date for Kennywood is Wednesday, August 10 th. Please make all band camp checks payable to Bellaire Band Patrons with your child s name in the memo section. Please mail checks to: Bellaire Band Parents c/o Tina Mehlman Home: Mehlman Road Cell: Bellaire, OH The celebrity server will be held Tuesday, June 28 th. The car wash will take place Saturday, July 2 nd. All money goes directly to the students accounts for those who participate. Please call Tina if your child will be participating.

2 Summer Uniform order form *Students will be fitted for winter band uniforms at a later date. Student s Name Band Shoes $25.00 (Indicate Male or Female Size) Summer Shirt Small $13.00 (Indicate Size) Medium $13.00 Large $13.00 X Large $13.00 XX Large $14.00 XXX Large $15.00 Summer Shorts Small Medium Large X Large XX Large XXX Large X Long Prices TBA (Indicate Size) (long 9-inch inseam for very tall students) T-Shirt Size *New Students Only!* *Seniors Only!* Wind Suit Jacket Size Senior Flag $35.00 Wind Suit Pants Size

3 Section Shirt Order Form Student Name: Marching Band Section: Student Shirt Size: Extra Shirts: (Indicate size and quantity)

4 Band Camp Daily Schedule Monday July 25 th Report to Band Room 6:30 am Depart for Bethany 7:00 Arrive at Bethany 8:00 Field Rehearsal 10:00 (Meet at Band Trailer) Lunch 11:30 12:00 Sectional Rehearsal 12:30 1:30 Full Band 1:30 3:00 Free Time 3:00 Supper 5:00 5:45 Field Rehearsal Meet at Trailer *5:45 Activities/Social Time 9:00 In Rooms 11:00 Lights Out 11:30 Tuesday July 26 th Rise and Shine!!! 7:00 am Field Rehearsal Meet at Trailer *8:15 Rest of the day same as Monday afternoon! Wednesday July 27 th Good Morning!!! Prepare for Whiney Wednesday! 7:00 am Breakfast 7:30 8:00

5 Field Rehearsal Meet at Trailer *8:15 Lunch 11:30 12:00 Sectional Rehearsal 12:30 1:30 Full Band 1:30 2:30 Get ready for pictures 3:00 Pictures 4:00 Supper 5:00 5:30 Field Rehearsal Meet at Trailer *5:45 Activities/Social Time 9:00 In Rooms 11:00 Lights Out 11:30 Same as Tuesday!!! Thursday July 28 th Friday July 29 th Good Morning, Last Day! 7:00 am Breakfast 7:30 8:00 Field Rehearsal Meet at Trailer *8:15 Lunch 11:30 12:00 Sectional Rehearsal 12:30 1:30 Full Band 1:30 2:30 Pack up Rooms and Clean 3:00 Supper 4:30

6 Check Out 5:30 6:15 Show 6:30 Depart When show is over!

7 What To Bring To Camp *You are limited to one suitcase and one carry-on. Please do NOT bring large stereo systems or large televisions. If you plan on bringing an acceptable size TV and/or game system, PLEASE only one per room. Also, there is no guarantee if cable will be provided. 1. Please, BRING YOUR INSTRUMENT! 2. Also, BRING YOUR MUSIC! 3. In addition, bring your flip folders, sticks, neck strap, auxiliary equipment, etc. 4. Summer uniform: shirt, shorts, black socks, black band shoes 5. Sheets, pillow, blanket, or sleeping bag (sheets are for a double bed) 6. Enough clothes for 5 days. ALWAYS PACK EXTRA! Accidents happen! 7. Swim suit (pool may or may not be open) 8. SUNBLOCK AND SUNGLASSES! Also, bring a hat. 9. Alarm clock 10. Shoes for marching. Bring extra in case of rainy weather. NO sandals/flip-flops on the field. 11. You may bring snacks, but remember that space is limited. You may also bring some spending money; there are vending machines and a general store on the campus. 12. Towels and toiletries. DO NOT FORGET DEODORANT! 13. Bring a jacket or hoodie the field is usually chilly in the mornings. 14. Cell phone if you have one

8 Bellaire Band Camp Health Statement ALL SIDES of this form MUST be completed for each student. Minors must have this form completed and signed by a parent/guardian. This information will be kept confidential and will be used only for the welfare of the student. PRINT neatly using blue or black ink. Student Information: Name: (Last) (First) (Middle) Address: (Street) (City) (State) (Zip) Home Phone: County: Date of Birth: Male/Female: Age (today): Emergency Contact Information: Parent/Guardian Name: Other Contact: Other Contact: Physician: Dentist: Health History: Parent/Guardian Cell Phone: Other Cell Phone: Other Cell Phone: Physician Phone: Dentist Phone: Communicable Diseases: Provide the date (approximate is acceptable) at which participant has had or was exposed to: Chicken Pox Measles Whooping Cough Tuberculosis Mumps Other Immunization/Vaccine Record: To the best of knowledge, the student is up-to-date on all immunizations which may include, but is not limited to: Diphtheria/Pertussis (Whooping Cough-TDAP), Polio, Measles/Rubella/Mumps (MMR), Haemophilus Influenza (HIB), Varicella (Chickenpox) that are required for school. The student has received a Tetanus Booster. Date of last booster: Medical Instructions: Medications/Allergies, Current/Past Medical Conditions Name of Medication: Dosage: Frequency/Instructions:

9 Check below if the student is subject to any of the following conditions: Asthma Bronchitis Cramps Fainting Heart Trouble Controlled? yes/no Seizures Sore Throat Athlete s Foot Constipation Diarrhea Frequent Home Sinusitis Bed Wetting Convulsions Colds Sickness Ear Infections Headaches Kidney Sleep Walking Other? Trouble Allergies: If none, please write NONE here: Food allergies: Medication allergies: Serious Ivy, Oak, or Sumac poisoning: What is the prescribed treatment? Serious bee or insect sting reactions: What is the prescribed treatment? NOTE: If student s allergy may require the use of an Epi-Pen, then the student must provide the Epi-Pen and discuss possible administration with the camp nurse. Accommodations for Camp: Please tell us about accommodations your child may need at band camp: Student will be bringing medications to camp (please describe refrigeration or special storage below) Student has dietary restrictions (describe below) Student has limited mobility (e.g. crutches, cane, etc.) Student has ADHD or a related attention deficit disorder; a visual, hearing, cognitive processing, reading, or a speech impairment (describe below any anticipated accommodations you typically receive at school or home). Student requires use of medical equipment that needs electricity (describe below) Student requires NO special accommodations listed above. Description of any past or current physical, mental, or psychological conditions requiring medication, treatment, or special restrictions or consideration while at camp: Description of any camp activities from which student should be exempted for health reasons:

10 Instructions for Medications: All prescription drugs must be carried in the container in which they were issued (with medical orders and physician s name intact) and given to the camp nurse. Other prescription drugs will not be accepted. Only bring the amount needed for your stay at camp. If you need regular over-the-counter medications, they must be in the original container. Like prescription medications, these must be given to the nurse. All medications will be given as directed on the original package/container. If there are any dosage adjustments, you must bring a signed documentation from your physician. Check medication(s) that student may receive if deemed necessary and administered by a health professional. Examples of brand names are given in parentheses. Generic or other brand names may be provided. Acetaminophen Antiseptics Diarrhea Medication Poison Ivy Medicine Aloe Lotion Antacids (Maalox, Tums) Antihistamine (Benadryl, Claritin) (Imodium) (Calamine Lotion) Antibiotic Ointment Ibuprofen (Advil, Sore Throat Medicine (Neosporin) Motrin) Cough Syrup/Drops Insect Repellent Sun Screen Decongestant (Sudafed) Laxative (Milk of Magnesia) Swimmer s Ear Medicine Parent/Guardian Consent for Treatment: In the event reasonable attempts to contact me at the above number or other parent/ relative have been unsuccessful, I HEREBY GIVE MY CONSENT for: 1. The administration of any treatment deemed necessary by the doctor or dentist listed above, or in the event the designated preferred doctor/dentist is unavailable, by another licensed physician or dentist, and 2. The transfer of the child to any reasonably accessible hospital. This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery. Signature: Date:

11 I hereby give my permission for my child to attend band camp at Bethany College, all parades, games, and other performances with the Bellaire Band, and any other institutions during the year. (Signature of Parent/Guardian) Restricted activities and/or special notification instructions:. Photo and Video Release I give permission to the Bellaire Fine Arts, Bellaire Marching Band, and other Bellaire Local Schools organizations to record and edit into video and/or photograph the likeness, voice, image, and video images of my child,, and to use all or parts of the video or photographs in print or electronic materials for educational purposes for the Bellaire Local Schools. Parent/Guardian Printed Name Parent/Guardian Signature Date Responsibility for Transportation To Whom It May Concern, I/We as the parents of the student named below agree to assume full responsibility for his/her safe transportation home. This is necessary because: Date: Student s Name: Parent s Signature:

12 Please read the following information. As with any large undertaking it is important to set down rules and regulations for the health, safety, and welfare of the students, parents, and band staff. As a band camp member, you expected to follow ALL rules and regulations. 1. You are under all rules and regulations of the Bellaire School District handbook. Band camp is a school activity, so any violations of policy will be dealt with according to school district standards. 2. Under NO circumstances will hazing of other students/staff be tolerated. 3. Boys are not permitted in girls rooms or the girls wing. Girls are not permitted in the boys rooms or boys wing. 4. You are not permitted off campus. 5. You must attend all meals, rehearsals, and band functions. 6. You must ride the bus to Bethany. Parents are responsible for getting their child home from the camp on Friday night. 7. No visitors are permitted except on Friday night for the show. 8. Refrigerators and microwaves may be in each suite. More will be known at a later date. 9. Phone or cable service will not be provided, so bring your cell phone. 10. Keep cell phones off while on the field, sectional, or music rehearsals. 11. Each room is air-conditioned; however, if you open the window the air-conditioner shuts off. 12. Each night there will be a room check. You are not permitted out of your room until the next morning when the chaperone wakes you. This campus has several security cameras, and security has increased recently. Usually a security guard will do routine night checks in every building. This protects the students and monitors behavior. 13. Report all injuries and illnesses to the medical person. 14. All prescription medication is to be given to the medical person. 15. Lost room keys will cost you $ and lost Bethany College key cards will cost you $ Dining Hall Rules and Regulations 1. Guests are not permitted to cut in food lines. 2. No food service ware (glasses, china, silverware, etc.) is to be taken from the dining facility. 3. No person is permitted in the dining hall unless he/she has presented a meal bracelet or purchased a meal. 4. Health and safety requirements demand that shoes and shirts be worn at all times. No spikes (rubber or steel) are permitted.

13 5. All trays, silverware, china, glassware, and paper are to be taken to the dish room or appropriate racks. Please self-bus tables, and make sure to take trays, trash, etc. to assigned area. 6. Smoking and/or use of smokeless tobacco are prohibited in the dining rooms. 7. Guests are not permitted to throw food or other objects in the dining facilities. 8. Foul language and horseplay will not be tolerated. 9. Hazing activities will not be tolerated in the dining facilities. Residence Halls Rules and Regulations 1. The consumption or possession of alcoholic beverages in a state-owned residence hall or campus is prohibited, even if the quest is of legal age. 2. Any drug or alcohol paraphernalia (beer tap, bar, pipes, bong, etc.) found in possession of a guest will also result in the dismissal from the university, and possible legal action will take place. 3. The possession of firearms, knives, or other lethal weapons on campus is prohibited. 4. The hanging or throwing of objects out of residence hall windows is prohibited. 5. Do not remove furniture from rooms or common areas. Any furniture that has been moved or is missing will result in charges to the quest or group. 6. Do not take beds or furniture apart. 7. Tampering with the cable, which is provided during spring and fall, is strictly prohibited. 8. Guest rooms should be locked at all times to prevent theft or damages from other visitors. 9. No pets of any kind are permitted in the residence halls. No bikes, motorized vehicles, or hover boards are permitted in the residence halls. 10. Damages to common areas and lounges will result in the billing of conference quests. 11. Ball play or sports in the residence halls is strictly prohibited. 12. Do not paint or mark on ceilings or walls. Do not hang flammable materials from the walls or ceilings. Inspections of the rooms will be done before and after the group leaves. Groups will be billed for any damages or defacing of property. 13. Tampering with fire equipment is a serious offense and a danger to all conference quests. Fines for this will exceed $600 when the fire alarm sounds: all quests are to evacuate the building immediately using the nearest exit. 14. Stoves, hot plates, and air conditioners are not permitted in the residence halls. 15. Guests found acting disorderly, riotous, destructive, or disruptive are subject to legal action by Public Safety

14 16. Any person on University premises or in a building is required to produce identification upon request by a Public Safety Officer or Conference Staff person. 17. Harassment, disrespect, uncooperativeness or verbal abuse towards others will result in immediate dismissal from the university. 18. Any device that produces an open flame or explosion is prohibited (i.e. incense, candles, fireworks). 19. No cleats are to be worn in any residence halls.

15 BELLAIRE BAND SHIRTS LONG SLEEVE T-SHIRT T-SHIRT Small X-Large $17.00 Small X-Large $15.00 XX Large $18.00 XX Large $16.00 XXX Large $19.00 XXX Large $17.00 The shirts are black with an Indian head on the front. The front has Bellaire Marching Band in white outlined in red. On the back, Pride of The All American Town in white outlined in red. Please make all checks payable to: Bellaire Band Parents Any questions call Tina Mehlman or You can mail orders to Tina Mehlman, Mehlman Road, Bellaire, Ohio Name Circle One or Both: Long Sleeve T-Shirt T-Shirt Circle Size: Small Medium Large X-Large XX-Large XXX-Large You have the option of having your child s name, the year they graduate or the relationship you have with them (Mom, Dad, Sister, Grandma, etc.). The T-Shirts will have the right sleeve printed horizontally, while the long sleeve t-shirts will have the right sleeve printed vertically. The sleeve print will be an additional cost: $2.50 extra for short sleeve and $3.50 extra for long sleeve. What you want printed on the sleeve: