Tullahoma Band Clinic Event Forms

2026 TULLAHOMA BAND CLINIC EVENT FORMS

Once completed, you will receive a digital copy of all completed TCS forms. It will be sent to the parent/guardian #1 listed on the medical form question. In addition, once submitted, you will be redirected to a google drive with a trip sheet and full schedule by event. Parents AND Students should complete/sign these forms together.
SECTION 1- TCS and Medical Forms
My child has permission to attend the events selected below. We also understand that there are costs associated with each event and fees are due by the date listed. We understand we may pay by cash or check, made payable to Tullahoma Band. *High Schoolers may use their CutTime credit in account. (Please fill out a request on paper for this and place it in the black box. THIS IS ONLY IF YOU HAVE ENOUGH CREDIT TO COVER THE COST)
PARENT/GUARDIAN SIGNATURE*
PRINTED NAME OF BAND MEMBER*
DATE*

MonthDayYear
Date
MTSBOA JAZZ/ORCHESRA CLINIC JAN 8-10 (Cost $135 per student due by 1/8)MTSBOA BAND CLINIC JAN 15-17 (Cost $135 per student due by 1/15)TRI LAKES BAND EVENT JAN 30-31 ($20 per student due by 1/6)TTU FESTIVAL OF WINDS AND PERCUSSION FEB 12-14 ($125 per student due by 2/12)
Transportation Home By Event

If you plan to attend the concert (which we strongly suggest) and will be taking your child home at the end of the concert, please indicate below by event. Only select events that apply to your child. All concerts for events occur on Saturdays*

Rows	I WILL ATTEND CONCERT AND MY CHILD WILL RIDE HOME WITH ME	I AM UNABLE TO ATTEND CONCERT AND MY CHILD NEEDS TRANSPORTATION HOME
MTSBOA JAZZ/ORCH
MTSBOA BAND
TRI LAKES
TTU FEST

Tullahoma City Schools Band Program Emergency Contact & Medical Consent Form 2025-2026 School Year
Student Name First/Last*
Student's Cell Phone*
Format: (000) 000-0000.
Student Grade Level*
Student Date of Birth*

MonthDayYear
Date
Student Address*

Address

Street Address Line 2

CityState / Province

Zip Code
Parent/Guardian #1 Name*
Parent/Guardian #1 Email (this is where completed forms will be sent)*
example@example.com
Parent/Guardian #1 Cell Phone*
Format: (000) 000-0000.
Parent/Guardian #2 Name
Parent/Guardian #2 Cell Phone
Format: (000) 000-0000.
Parent/Guardian #2 Email
example@example.com
Other Emergency Contacts (Name/Phone number)
Format: (000) 000-0000.
Do you carry medical hospital insurance*
Hospital of Choice*
Name of Insurance Company*
Policy*
Group*
Student's Doctor
Doctor Phone
Format: (000) 000-0000.
Date of last Tetanus Shot if known

MonthDayYear
Date
Allergies (Food, medications, etc) (If none, type none):*
Medications (Daily or as needed) (If none, type none)*
Medical Conditions (or Health Concerns) (If none, type none)*

Band personnel (Directors, Band Medic, Chaperones) keep some over-the-counter oral medications and natural supplements/products that can be administered to your child when needed. Please respond to the following to give consent for Oral Medications/Supplements- (Select Yes OR No in each row, don't click both)*

Rows	Yes, Allowed	No, Not Allowed
Acetaminophen (i.e. Tylenol)
Ibuprofen (i.e. Advil/Motrin)
Cough/sore throat lozenge
Essential Oil Lozenges (for cough/congestion/stomach
Diphenhydramine (i.e. Benadryl)
Antacid (i.e. Tums)
Ginger Root (for upset stomach)
Pepto Bismol Chews
Loperamide (i.e. Imodium)

Authorization and Consent to Medical Treatment

To Whom It May Concern: I, the undersigned, being the parent or legal guardian of the above-named student, do hereby authorize any medical care or treatment deemed necessary for this person while participating in Tullahoma City Schools Band Program activities.
Parent/Guardian Signature*
Parent/Guardian Printed Name*
Date*

MonthDayYear
Date
SECTION 2: COMPLETE RED LINK BELOW ONLY IF YOUR CHILD IS ATTENDING AN MTSBOA EVENT (does not need to be completed for Tri Lakes or TTU Fest)- MTSBOA Rules and Regulations Form- must be completed by both band member AND parent
Please click red link below to be redirected. ONCE MTSBOA FORM IS COMPLETED, RETURN TO THIS FORM to complete and submit:

MTSBOA RULES AND REGULATIONS FORM
YES
ONCE YOU CLICK THE SUBMIT BUTTON BELOW, YOU WILL BE REDIRECTED TO A GOOGLE DRIVE THAT HAS ALL CLINIC BAND FILES INCLUDING SCHEDULES, ETC. IN ADDITION, ALL FILES CAN BE FOUND ON OUR BAND WEBSITE
Should be Empty:

2026 TULLAHOMA BAND CLINIC EVENT FORMS

SECTION 1- TCS and Medical Forms

Transportation Home By Event

SECTION 2: COMPLETE RED LINK BELOW ONLY IF YOUR CHILD IS ATTENDING AN MTSBOA EVENT (does not need to be completed for Tri Lakes or TTU Fest)- MTSBOA Rules and Regulations Form- must be completed by both band member AND parent

ONCE YOU CLICK THE SUBMIT BUTTON BELOW, YOU WILL BE REDIRECTED TO A GOOGLE DRIVE THAT HAS ALL CLINIC BAND FILES INCLUDING SCHEDULES, ETC. IN ADDITION, ALL FILES CAN BE FOUND ON OUR BAND WEBSITE