2022-2023 Grizzly Band Registration
Student Information
Student ID
*
Found in Skyward under Student Information as Other ID. Is 7 digits long and starts with a 0. If your student is new to Snohomish School District and you don't know this #, just enter NEW into the box above.
Student Name
*
First Name
Last Name
Student Address
*
Street Address
City
State
Zip Code
Student Home Number
Student Cell Number
Student Email
*
NOT parent email
Grade Level
*
9
10
11
12
For 2022-2023 school year
Band(s) - (Check all that Apply):
*
Grizzly Band
Color Guard
Concert Band
Symphonic Band
Wind Ensemble
Percussion Ensemble
Primary Instrument
*
This is the instrument you play in your enrolled band class.
Grizzly Band Instrument (if different)
(i.e. Bassoon in Symphonic Band, Alto Saxophone in Grizzly Band)
Unisex T-Shirt Size
*
Small
Medium
Large
X-Large
XX-Large
3X
4X
Individual Marching Uniform Photo
*
Yes
No
By marking YES, you give Jason J Kim Photography permission to take photos of your child. You also agree to read the letter from Jason J Kim Photography on the terms and conditions. (This letter will be sent to you in a separate email after registration is complete.)
Will you be attending Band Camp August 8-12, 2022?
*
Yes
No
If NO, or if you can only attend Band Camp on certain days, please give us those details/reasons in the comment box below.
Personal Instrument Registration
Type of instrument(s)
Make(s)
Serial Number(s)
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Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Home Number
*
Parent/Guardian Cell Number
*
Parent/Guardian Email
*
This is where we will send booster related emails to. If you would like these communications to be sent to multiple addresses, please separate entries with a comma. Please add gphsbandboosters@gmail.com to your safe senders list.
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Relationship
Emergency Contact Home Number
*
Emergency Contact Cell Number
*
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Medical Information & Authorization
Hospital/Clinic Preference
Physician Name
Physician Phone Number
Insurance Name
Policy Holder
Policy ID#
Allergies/Special Health Concerns
Authorization
*
I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency. By entering your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
Signature
*
Use touch screen, smart pen or mouse to sign your name on the line above.
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Payment
PayPal Payment
*
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2022-2023 Grizzly Band Fee
$
165.00
The Grizzly Band Fee is used to hire instructors, development of the marching show, music used, uniform use and alterations and a Grizzly Band tshirt.
Enter coupon
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Total
$
0.00
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