Marching Band Online Form
Please complete all 5 pages of information. Before starting the online registration, you will need your health insurance details and the date ofmost recent tetanus shot. your student's
Student Member Name
*
First Name
Last Name
Years in Marching Band
*
Primary instrument followed by other instruments you are capable of playing. If you are trying out for Color Guard please indicate that here.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Student Home Number
*
-
Area Code
Phone Number
Student Cell Number
*
-
Area Code
Phone Number
Student Email
*
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Grade for upcoming fall season.
*
Please Select
6
7
8
9
10
11
12
Have you signed up for band class for the upcoming season?
Yes
No
Parent Information
Father's Name
First Name
Last Name
Father's Cell Number
-
Area Code
Phone Number
Father's Work Number
-
Area Code
Phone Number
Mother's Name
First Name
Last Name
Mother's Cell Number
-
Area Code
Phone Number
Mother's Work Number
-
Area Code
Phone Number
Parent Email 1
*
Parent Email 2
Is the parent's address the same as students?
Yes
No
If you answered "no" above, which parent has a different address?
First Name
Last Name
Parents Address (if different from above)
Emergency Contact Information
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Relationship
*
Home Phone Number
-
Area Code
Phone Number
Work Phone Number
-
Area Code
Phone Number
Cell Number
*
-
Area Code
Phone Number
Schedule Consideration
NRCA Schedule Consideration
Failure to submit the appropriate forms for sports notifications or zero hour class notifications prior to the end of Spring Camp, may render the student ineligible for the participation in the Marching Knights.
Sports
Do you plan to participate on an NRCA sports team?
*
Please Select
Yes*
No
*If yes, you must see the director and complete a sports notification form (Note: Permission for fall sports generally cannot be granted for guard and drumline.)
What sports team will you be a part of?
Zero Hour Class
Do you plan to participate in a lab that meets during Zero Hour?
Please Select
Yes
No
If yes, specify the lab and meeting day.
Do you plan to take a Zero Hour Class other than jazz band during the upcoming school year?
Please Select
Yes*
No
*If yes, Zero Hour Class Notification form must be completed (form found on the Marching Band webpage).
If yes, what is the Zero Hour Class you are taking?
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Permission for Emergency Medical Care
I understand that only basic first aid may be available during Marching Knights practice and performance events. I further understand that should a serious injury or illness occur, medical and/or hospital care may be obtained. In case of serious injury or illness, North Raleigh Christian Academy Marching Knights staff have my permission to pursue a course of action which is in the best interest of the ill and/or injured participant.I hereby authorize and permit any member of the North Raleigh Christian Academy Marching Knights staff or other school staff to secure any medical treatment the member named above may require or which may be reasonably necessary for such member while involved with the North Raleigh Christian Academy Marching Knights. A doctor, clinic or hospital may proceed with any emergency medical or surgical treatment that may be deemed necessary for the well being of the student.I further understand, that I will be responsible for all medical, surgical, and transportation costs, that may be incurred during medical treatment.
The parent signing the medical waiver in the statement above.
*
First Name
Last Name
Signature
*
Insurance Information
Company
*
Group or Policy Number
*
If Required for Student: NRCA EpiPen Authorization on file
Yes
If Required for Student: NRCA Inhaler Authorization on file
Yes
Date of most recent Tetanus Shot
*
Allergic reactions to any drug/medications
*
Which over-the-counter medications are approved for administration to your student.
Yes
No
Aspirin
Advil
Tylenol
Antacid
Benadryl
Pepto Bismol
Other special medication, dosage instructions or concerns.
Does your student have any Prescribed medication?
Please Select
Yes
No
If you answered yes to the above, please give the name of the medical and the dosage.
Are there any activities participant should not take part in?
Please Select
No
Yes
If you answered yes to the above, please list the activities that they should not be involved in doing.
Does your student have and special diet modifications or needs?
Please Select
No
Yes
If you answered yes to the above, please list these modifications.
Other special medical information.
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King's Dominion
Please see the calendar for the date of the Marching Knights trip to King’s Dominion during the August band camp. We will leave from the school on a charter bus at 6:45 A.M. and return to the school around 11:30 P.M. The only student cost is for lunch in the park and a fast food type dinner on the way home (a $20 minimum would probably be a good estimate for spending money). Chaperone space is available but limited. If you would like to be considered to chaperone, please indicate your desire below. All students attending are expected to ride the group bus to and from the park.
I give permission for my student to travel with the Marching Knights to King’s Dominion.
Please Select
Yes
No
I would like to be considered to chaperone for this trip.
Yes
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Marching Band Shirt
Each Marching Knight and Color Guard member receives one t-shirt included in the band fee. The shirt has the show theme on the front and the members names on the back. Please enter the student name for the back of the shirt how you want it to be printed along with the size. Students are required to wear the shirt under their uniforms at all games, competitions and the parade. If you wish to purchase an extra shirt please click yes and add $10 to your payment.
T-Shirt Size
Please Select
Size
Y-Small
Y-Medium
Y-Large
A-Small
A-Medium
A-Large
A-XLarge
Extra Shirt
Yes
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Volunteer Opportunities
Responsibility for each of the areas below is essential in making the Marching Knights Program a success. We know the list is long—it takes a lot of help to keep this machine running! Any and all assistance is welcome. If you have any questions please contact the bandroom at 919-573-1640. Detailed descriptions of these volunteer opportunities are available on the Marching Band website.
Band Volunteer Opportunities
Band Camp/Mini Camps
Wednesday Practices
Uniform maintenance
Hydration for Home Games
Transportation
Chaperone
Prop Prodcution
Prop Parent
Pit Crew
Home game dinner help set-up & clean-up
First Aid specialty (e.g., Dr., Nurse, P.A., etc)
Booster Sports Gates
Videographer or Photographer
Awards Night Reception
Other skills, talents or assets.
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