WELCOME You are very welcomed into The Mighty Husky Marching Band. Your contributions are eagerly awaited and anticipated. Please note that the success of the marching band relies on your energy, enthusiasm and preparedness. We come from a variety of backgrounds and diverse degrees of musical experience. My responsibility to you and the entire band is to provide the best experience that can collectively be created. Therefore the primary purpose of this handbook is to serve as an operational guide for all stakeholders of our band program. This handbook is a systematic approach to the teaching and organization of the marching band and is designed to help avoid costly delays and loss of time due to a lack of awareness of policy and procedures. Whenever questions arise, please consult the handbook. If your question is not answered feel free to email me at robert.carrington@cms.k12.nc.us. Please keep this handbook with other handouts that involve band activities for easy reference. Congratulations for making the BEST choice and becoming a cadet in the Mighty Husky Marching Band. It will be a pleasure to serve you and I certainly look forward to working with each of you as we create an amazing year. Robert Carrington Director of Bands

PURPOSE OF MARCHING BAND

The Hough High School Marching Band is an organization that is comprised of talented students from the student body. Members of the band are a disciplined group of students who are proud to support their team during the school year, as well as represent Hough High School throughout the state in various competitive and community service venues. Members of the marching band devote a great deal of time and effort to building interpersonal relationships, increasing their musical abilities and working together in a team-building manner with the goal of achieving outstanding results throughout the year.

A STATEMENT OF POLICY

In order to assist band members and parents in understanding areas of responsibility, a statement of band policy is herein set forth. Becoming familiar with this policy will enable each band member to make the most of this great opportunity to become a better person and a better musician.

“We believe that music education is a catalyst, more unique than any other discipline, which contributes to the positive growth and development of young people. The musical ensemble is a micro-world in which people of different races, creeds, and abilities unite through hard work, mutual respect, dedication and individual commitment to achieve a common goal of excellence. We firmly believe that students should strive to improve their musical skills through regular practice. In the Hough High School Band Program, we feel that the happiest students are the ones who are improving themselves through regular habits of practice and daily progress. They must not only know right from wrong, but must be able to stand for their principles. They must develop a high sense of purpose. We intend to conduct the Hough High School Bands in a manner that will facilitate all students in learning and bettering themselves while providing a strong vision for the school and community."

WHAT IS THE MARCHING BAND OF TODAY?

The excitement of watching a marching band perform is something that many people have had the privilege to experience. Anyone can be in an audience to experience musical achievement. However, few people participate in the task of creating that ensemble. The growth that is seen in any performance is the result of many different facets to the development of the ensemble and more directly to the development of the individuals in that ensemble.

Generally, a marching band rehearses music to the point of memorization, learns how to march in a specific style with an instrument, coordinates with others to create drill patterns and maneuvers and learns to adapt quickly to changes that need to be made at a variety of speeds. Marching Band is indeed a sport that not only requires agility and support, but also comprehension for improvement as well as tenacity.

There are several areas where marching band benefits the high school student. It helps further develop the mastery of a band instrument or a piece of equipment. As the most visual performing ensemble, it allows the opportunity for multiple performances throughout the year. Students are exposed to a variety of genres of music from classical to rock. Playing in the marching band also develops the abstract concept of musical expressiveness. It develops pride within the school through the participation at football games and contests. In fact, the marching band reflects many of the positive attributes of the high school in general. Finally, marching band has many residual effects through the development of responsibility and leadership. By striving in a coordinated endeavor each student gains confidence, charisma and becomes a part of a musical family.

The marching ensemble of today bears little resemblance to its precursor of yesteryear. In essence the marching band of today is more challenged and highly competitive. With the rise of Drum Corps, Winter Percussion and Winter Guard, the marching ensemble has become a highly developed and instructional class construct. Dedication and expectations of performance are extremely high.. Therefore rehearsal and practice make the difference in a successful marching ensemble.

When asked why one should join the marching band, many participants find it hard to put into words because the feeling one gets through performing, working with others, developing friendships and rushes of adrenalin are unimaginable. Because of all these benefits, Hough will have an outstanding music program. The marching band will be in the forefront of that development.

THE TOTAL EFFORT

In order for the Hough Band Program to be the best band program, we must forgo the luxury of making excuses or letting problems go unresolved. Playing problems are going to occur in every rehearsal. The manner in which they are corrected will ultimately determine the success we experience on the field. When things go wrong, devote your efforts to trying to REMEDY the situation rather than trying to place BLAME. Rehearsals will move smoothly and efficiently if we decide to work together toward the common goal.

Everything you do becomes a vital element in the success and character of our performances. Remember, any movement that is not consistent with the rest of the band will distract the audience. Your total concentration during rehearsals and performances will insure precision and style while playing, which benefits our organization. It is important that you will begin each performance as well prepared as humanly possible. Always add that final touch of mental alertness that can make your performance great. Do not sell yourself short or insult the band's integrity by doing anything less. Remember: A chain is only as strong as its weakest link.

RESPONSIBILITIES OF A BAND MEMBER

As members of this organization, we have many aspirations, activities and responsibilities. It is essential to any program to be sure the duties and rewards of the program are coordinated to be sure our goals are met.

To Ourselves: You have the primary responsibility of developing your own abilities. The benefit of a good playing instrument and private instruction can never be underestimated. What you put into your performance is what you will get out of it. Mr. Carrington is always available for musical encouragement and guidance.

To The School: Hough High School and Charlotte Mecklenburg Schools provide us with very basic funding, equipment, and facilities for a band program. The Band Booster Club provides additional funding and support for special activities. We have the responsibility to provide the best possible service for their investment.

To Music: Music has always been a part of our culture. We must take what we have and use it for the betterment of that culture. No one expects all students to be virtuoso musicians, but to make a positive contribution to the process of preparing and performing music.

To Each Other: We must always do what is best for the welfare of the entire group. There can be no selfish acts. We must respect each other! If there are conflicts, find a way to resolve them. Never insult or degrade another band member. Since we are all in this together, we must work together as a team.

Financially: The band is funded by the school district to cover the basic essentials. In order to be fully functional and have the opportunity to attend special activities a band lab fee is assessed. Students must also participate in fundraisers. Individual accounts are kept for each student and records are kept of how much profit each student generates.

COMMUNICATION AND CHARMS

Communication is the key to the success of any student and/or band program. There are several ways in which we promote communication. We have a band website that had most information needed for parents and students alike. Please be mindful that as events evolve throughout the year, all information on the website should be considered tentative. The best way to directly communicate with Mr. Carrington is through email at robert.carrington@cms.k12.nc.us. We also utilize an office assistant program called Charms. This is an amazing technological resource that is used to inform families of band activities through email and newsletters as well an update on the student’s band account. The school system provides access to its online grading system that can keep you informed of your student’s academic progress in marching band. You can also leave a message on Mr. Carrington’s voicemail by calling the school at 980-344-0514. Please understand that directing an outstanding program such at Hough requires much time and effort. It is not possible to always give an immediate response but every attempt will be made to return your inquiry within 48 hours. Once your band student’s school identification number had been entered into to charms, you may access their account. It is the responsibility of the family to keep their information current in order to receive information regarding band activities. You will have to enter email information into charms and keep it regularly updated.

PERFORMANCE POLICIES (Competitions, Games, Practices, Bus)

In general, all band activities are school related; therefore, school policies and guidelines will be enforced including:

> No weapons of any kind > Use of drugs, alcohol, or tobacco products is prohibited > No profanity in language or clothing > No displays of inappropriate behavior that might be an embarrassment to the band or

school

Infractions will be dealt with not only by Mr. Carrington, but also through the school administration. Let us always keep in mind that we want the Hough High School Marching Band to be well respected in our community.

Rehearsal Expectations: Because of our limited time together, it is important that each member understands and executes proper procedure during a rehearsal. Regular rehearsals begin at 5pm and end at 8pm. This means the rehearsal begins and ends on the practice field. This does not include getting your instrument out and heading to the field. A good rule of thumb is to arrive 20 minutes early in order to be on time. A typical rehearsal period will begin group stretches on our practice field. Both leadership teams will be given an agenda for the rehearsal. Each student must be in their spot with all materials needed for a marching rehearsal. Students who fail to be ready on time will be disciplined accordingly and will have their grade lowered. When not being used, instruments are to be clustered by sections to avoid damage and loss. Students are not to play on another student’s instrument. Students will be held financially responsible for any damage to school equipment. The drum majors will begin the rehearsal. It is customary that students observe and follow instructions the first time they are given. Students are expected to work to improve during the rehearsal. All members must give active participation in order to achieve success of our program. The director will make every effort to end the rehearsal by the proper time. Students are then expected to leave the field and facilities in a clean and appropriate fashion. The student is to make sure to put all equipment away properly.

Football Game Expectations: On most days of football games the marching band stays after school in order to take advantage of last minute corrections that need to be made in performance. Students are expected to report to the appropriate rehearsal site on time. This may mean that you may have to plan ahead in order to be prepared and to have materials brought with you to school on game days. Students will not be allowed to leave campus on their own at any point when in our care. Upon the conclusion of the rehearsal students will be given an opportunity for down time and an evening meal. Our booster organization will provide a general meal. Payment for these meals will be handled by the booster organization. Students with special diets or who do not wish to eat the meal provided are encouraged to bring their own meal. If the student brings food to school a refrigerator will be made available. In addition, a table will also be made available after school where parents may drop off a meal to their student manned by a booster volunteer. Because timing of the activity is vital students may only eat during the time scheduled as they will be responsible for other activities before and after.

A departure time will be established for away trips. Games at home will generally operate in the same fashion. Band members will report to the band room to receive final instructors and/or rehearse before the game. We then line up in the hallway between the band room and gym. Pit equipment and other pertinent items will have been loaded by this point and we will march towards the stadium. Once attention is called the performance begins. Once in the stadium we will perform our pregame show which includes the national anthem. We will take the field jointly with the ROTC leading.

Once our pregame show has concluded we march to the stands. We will dismiss by section in order expedite our placement in the stands. ALL PERFORMERS will be given a specific place to sit/stand. You are to remain in that spot and not to move around the block. Although students find much enjoyment in the social aspect of the football game, we provide a functional purpose which is why we get in free. Band students should get involved in the football game and support our team using good sportsmanship. You must have permission from professional team members in order to leave the block.

Before the end of the first half we will leave the stands in order to prepare for our half-time performance. Students are expected to move quickly and to listen to instructions given the first time since time is of the essence. Upon the conclusion of our performance students will be released for Third Quarter Break. Students must stay on the home side unless given permission by Mr. Carrington. If you are in full uniform be mindful that any damage to the band uniform may be very costly to you. You are not to run at anytime. All members will be required to return by a specific time on the clock. You must BE IN PLACE at that time. Exceptions will be made if there are unusual circumstances as deemed by Mr. Carrington. Students who violate this expectation will lose the privilege of Third Quarter Break.

At the completion of the game we will load up and line up on the track in front of the home stands and march back to the band room. Once in the band room all students will change out of uniform and help return equipment and facilities to their appropriate space and state. Parents who wish to pick their children up in a timely manner are encouraged to help the students and boosters with the unloading of equipment. We will have roll call before dismissal to guarantee all aspects have been handled appropriately. Roll call in handled privately without booster or parent inclusion.

Away games are slightly more involved. The departure time will be determined on the distance traveled and the start time of the game. A tentative return time will also be posted but cannot be guaranteed as football games are of varying length. Students will be allowed to call their parents to inform them of the arrival time as soon as we load the bus to return to Hough.

Competition and Parade Expectations: On Competition Days we will rehearse before we leave. The only exception is for students taking the SAT. Procedures at school operate similarly as football games. Students must be focused as this is our “game-day” process. Please refer to the travel expectations below regarding bus expectations. When we arrive at the competition site students are expected to be SILENT until we disembark. Once we unload students will make two lines based on gender to go to the restroom. A chaperone will escort the groups to the restroom. Students will walk in a line to and from the restroom. Students and booster volunteers will unload equipment and we will prepare for the performance process. Pluming and Gloving will occur at some point. Students are not to handle the plumes and should take excellent care of their gloves. The band will head off to the warm-up areas and the pit equipment will head to the stadium. Water will be given out as we prepare to take the field. During the warm-up process students are expected to focus and listen to instructions the first time they are given. At the completion of our performance we will head directly back to the bus and trailer. Booster Volunteers should meet us there immediately. We will deplume and take up gloves. Then we will load up our equipment. We may change out of uniform. Students will be expected to report to the stadium in order to watch other bands perform. This is not free time. This is an educational process. Students MUST actively watch other groups perform. This means that all electronic devices will be turned off. Electronic devices that are confiscated will be turned into the main office and will follow the same process as per Hough High School policy. Students will be given a specific time to go get food and use the restroom. Emergencies will be handled by the use of a booster escort. Students will NOT hang out behind the stadium when they are expected to be watching bands in the stadium. While in the stadium the band will sit as a block. During the awards presentation the student leadership team will be in uniform on the field. The rest of the band will stand at parade rest during the presentation. They are not to socialize but they may cheer appropriately for other bands. Students who are not able to fulfill this expectation will no longer travel or participate with the marching band. At the conclusion of the awards ceremony all members will head towards and load the busses. A restroom stop is suggested as we may have a long drive back. Students need to be SILENT until we clear the competition site. Upon our return to Hough the same expectations are employed as at the end of football games. Parade Performances operate in a similar fashion with the exception that we typically don’t practice before we leave.

Travel Expectations: Transporting a large number of students is a monumental task. Safety is our number one priority. Once loaded on the bus, students will be asked to COUNT OFF. This is vital as it is a quick way to make sure everyone is on the bus. The COUNT OFF begins at the front of the bus and works its way to the back. Students must speak confidently and loud enough for the chaperone in the front of the bus to hear. Students shall sit in the seat facing the front of the bus. When directed they may talk quietly. They can use electronic devices with HEADPHONES! At night flash photography should not occur as it is very distracting to the driver. Students bring their devices at their own risk. When on campus of Hough or the other venue we must be silent to help the driver get instructions and park. Before disembarking the bus we need to make sure to close all the windows and pick up trash. A group of students will be determined to clean the bus once the band has unloaded. This includes picking up trash and sweeping the bus.

DUTIES OF A MARCHING BAND MEMBER

In an effort to create the best band possible, we need dedicated musicians to participate in our band. To make the most of the opportunities the band offers, you must be a superior band student. As a superior band student you will:

1. Be on time to all classes, practices and performances. 2. Arrive at all practices and performances prepared with correct equipment and a

positive attitude. 3. Make a real effort to learn and improve daily. 4. Maintain a strong academic standing in all other course work at school. 5. Be responsible for your actions. Accept the consequences of your choices. 6. Be personally clean. Be neat and dress appropriately.

7. Have a proper respect for those in authority. 8. Follow all classroom rules, school regulations, and travel instructions. 9. Be honest and fair with others concerning equipment, music and school life. 10. Cooperate with fellow band members and share with them the responsibilities and

privileges of the band program. 11. Contribute positively to your music education and that of others by the best use of

your talent. 12. Read and play music with care. 13. Improve your knowledge of music and develop good listening habits. 14. Above all, be dependable and trustworthy.

ATTENDANCE

In order to maintain the highest standards of excellence achieved by the Might Husky Marching Band, certain attendance regulations have been set and are strictly enforced.

Attendance is expected and mandatory at all scheduled rehearsals, sectionals, and performances.

In order for an absence or tardy to be excused, the circumstances surrounding the incident must be discussed with Mr. Carrington in person. Courtesy would dictate the necessity of reporting the expected absence in advance of the rehearsal to be missed. Doctor's appointments, Drivers Ed, labs and make-up work are not excusable. Plan accordingly and do the right thing.

Unexcused tardies or absences not only impact on the individual but also prohibit the band in general from functioning properly at rehearsal. There is too much vested effort, time and money involved in this activity for individuals to unaccountable for absences. Either an alternate will automatically be inserted in a slot where an absent member is missing or their spot will be removed from the drill.

It is Mr. Carrington’s position that advanced notice of potential conflicts can be agreeably worked out to the benefit of both the member and the band. Information that is after the fact does not have to be, and is most often not, considered in the same vain.

REQUIREMENTS OF MARCHERS

The Hough High School Marching Band will have a reputation of providing quality shows and being a strong competitor with some of the best bands in the state of North Carolina. Each year we will strive to win top honors in areas such as Music Performance, Marching Performance, General Effect, Drum Major, Color Guard Performance and Percussion Performance. In order to build this tradition of quality, the marchers are required to commit themselves to hard work and a good attitude. In return they will have an extremely rewarding experience where learning can take place and personal qualities such as teamwork, sportsman-like conduct, perseverance and personal discipline are enhanced.

In order to participate in the marching band program the following commitment must be made:

1. Attend band camp

2. Attend all rehearsals during the weeks scheduled from August through December.

3. Attend all required football games, competitions, parades and other performances

4. Take quality care of band instruments, equipment and uniforms

5. Learn and memorize music according to schedules

6. Participate in fund-raisers and make prompt payment of Band Lab Fee and Assessments

7. Donate two cases of 16.9 oz. bottled water or a $10.00 fee will be assessed

8. Work together as a team

9. Be respectful to those in authority, band parents and volunteers

10. Follow the chain of command if problems arise

11. Always exhibit a good attitude 12. Be registered for band during the school day. If in doubt about the requirements of a marching band participant, contact Mr. Carrington.

ALTERNATES

We recognize that there will always be extenuating circumstances that may prohibit a marching band member's participation with the band such as illness, death in the family, etc. We try to plan for these circumstances. Additionally, with a band of this size and caliber we make every effort to avoid the occurrence and appearance of holes in the drill design. In order to accommodate both needs, we employ alternates within our organization.

An alternate is defined as a band member who is not assigned a permanent position but who is qualified to participate on a guaranteed basis as well as on call to fill an unexpected void.

Alternates are not second class citizens who do not perform. Alternates are depended upon to assist the various sections during the daily rehearsals in the areas of double-checking charts, assisting leaders with visual identification, assisting with equipment changes and performing in the stands. We guarantee that an alternate will perform as needed positions open up. In my 24 years of marching band experience I have discovered that most alternates are eventually incorporated into the show by the end of the season. It is not uncommon to find an alternate being needed at the last minute to fill a slot and perform as though they had prepared normally.

MARCHING BAND UNIFORM GUIDELINES

UNIFORM (u-ni-form), adj. 1. having the same form, appearance, manner, etc.: not varying among themselves; conforming to a given standard; always alike. N 2. the official or distinctive clothes worn by the member of a particular group.

The Hough High School Marching Band will have a tradition of precision and professionalism. As a result it is important for you to remain in uniform at all times. Typically, the summer uniform (black non-athletic shorts, Issued white polo shirt, white socks and white shoes) will be worn at the first two or three football games, as decided by Mr. Carrington. The official competition uniform will be worn at later football games, competitions, and parades. Jewelry, watches, ball caps, etc. are not appropriate to be worn with the uniform. Long hair must be pinned up under the shako. When wearing the official uniform, if the weather is unseasonably warm, you may remove the band jacket with the permission of Mr. Carrington. You must have an official Band T-shirt on under your jacket. When you remove your jacket, be sure to take care to keep it clean and neat. While in uniform please eat only foods that will not stain the uniform. Remember that you will be charged for unscheduled cleanings. After performances, you are responsible for storing your uniform properly so it will not get wrinkled or dirty. You will be instructed concerning where it may be stored. Your uniform will be cleaned two or three times during the year, depending on number of performances and weather. If your uniform needs additional cleaning, you will be charged for that cleaning. You will also be charged for any missing pieces. The following are grooming policies for the Marching Band.

1. Hair -- There is to be NO hair on the collars of the uniform. Think of the bands you have seen where the locks were flowing everywhere versus a trimmer approach for which the neckline and headgear of the uniform were readily visible. Additionally, any section that performs without headgear must understand for the sake of uniformity that NO student will be allowed to march if they have an unusual hair color or unusual haircut. Individuality is fine during school, but remember we are setting an image in a uniformed fashion.

2. Facial hair -- Those of you with facial hair should trim it on performance days. Remember that you are “on stage” and are a featured performer. More people see you up close than you can imagine.

3. The uniform being issued to you will easily identify you as a Marching Husky. It must be worn only at authorized appearances and must always be worn properly. Proper care of the uniform is essential not only from the standpoint of taking care of high school equipment, but also from the standpoint of pride. When the Marching Huskies take the field, the visual impact is as great as the audible one. You should brush and air the uniform before turning it into the Quarter Masters. When hanging the coat, place it on the form shaped hanger and in an open space to allow it to hang neatly.

4. The uniform checked out to you should fit as perfectly as possible. If, however, it does need some slight alteration, we will assure this is done. You are never to alter the garment in any way.

5. The uniform must be worn properly at all times. This means that the entire basic uniform will be worn or none of it will be worn. The jacket must be buttoned and not allowed to dangle unzipped ever! The shako must also be worn appropriately. Any deviation in the policy is considered disrespectful to the uniform and will drastically limit the member’s participation in the marching band.

GRADING The grade for marching band is determined primarily on the basis of attendance, music memorization and regimentation during all facets of marching band operations. Random music memorization assessments will be given throughout the season in order to guarantee that members uphold their end of the musical investment. Students will also be graded on their ability to follow instructions and perform appropriately. One unexcused absence lowers a member's grade one letter. Two unexcused tardies constitute one unexcused absence. One unexcused tardy lowers a member’s grade by half a letter. Parades will count as the Semester exam. More than two unexcused absences will result in the student’s permanent removal from marching band.

BEHAVIOR EXPECTATIONS

All band functions are held to the same expectations as a regular school day class. All band members will be held the highest expectations in regards to behavior. As representatives of Hough High School we must exemplify the most positive characteristics of a Husky. Students will respect requests of the professional leadership team and comply with reasonable requests of the student leadership team in an expedient fashion. Since our booster organization is here to support the students, the students in return will assist band boosters in every facet of the program without argument or delay. Any band member who violates this expectation will be disciplined accordingly which may include school related consequences and removal from the marching band.

ADMINISTRATIVE DIVISIONS

Each marching participant will be assigned to a specific administrative team. Each team will be responsible for task or function needed for the marching band to operate. This includes equipment crew, uniform operations, music library, field maintenance, as well as maintaining facilities. It may be necessary to have students assigned to multiple crews if needed. The Quartermaster will assist in the development of this program. We also will be assigning each new member a mentor in order to foster a sense of comradery and to help the younger members as they become acclimated to the high school marching band construct. There will also be an opportunity for students to assist other participants who need help in specific academic areas so that all students will continue to do well in school and marching band.

FACILITIES AND SCHOOL OWNED INSTRUMENTS

As a new high school we are very fortunate to have new instruments and a state of the art facility. Students are expected to take excellent care of all equipment regardless of ownership. School Owned Instruments will be issued to specific members and they are held accountable for any damage or repair once issued to said student.

At Hough, we are lucky to have the state of the art Wenger Storage System. This allows our members to have their own locker with a lock provided. You must use the lock issued to you by the band department. Lockers are to be kept tidy. Food and beverage are not to be stored in our lockers. If a locker is considered by Mr. Carrington to be in a “condemned” condition, the band member will lose the privilege of storing their instrument in the storage room. Although every effort will be made to secure the facility, it is imperative to note that Mr. Carrington and other school officials WILL NOT be responsible for lost or stolen instruments and personal items. PLEASE RECORD YOU SERIAL NUMBER WITH YOUR HOMEOWNERS AND RENTERS INSURANCE POLICIES. Many music stores also provide maintenance agreements that include theft. See Mr. Carrington for details.

Much like the band room proper, the storage room is to be kept tidy and clean at ALL times. Violators of this policy will automatically be nominated to clean the entire band suite (E630). Each member will be issued a locker and a lock. You must use the assigned lock on the assigned locker. This is for security purposes. You must also complete and sign the locker agreement form as well.

CHAIN OF COMMAND

INSTRUCTIONAL DIVISION

Mr. Carrington (Director of Bands) is in charge of the total band program at Hough High School which includes all aspects of the marching band (e.g. music selection, drill writing, budget administration, travel coordination, logistical requirements etc.)

Rick Owens and Adam Deyoe (Associate Directors) reports to the Director of Bands and has specific duties involving show preparation, inventory management, rehearsing and conducting, membership as warranted and assigned.

Jamey LaFevers and Ashley Floyd (Directors of Percussion) reports to the Director of Bands and has the duty of writing and incorporating the percussion book for our field show. This includes the teaching of rudiments and fundamentals, instilling rigorous discipline, and development of the percussion program.

Heidi Hickox (Director of Guard and Movement) report to the Director of Bands and have the duty of writing and incorporating the guard book for our field show. This includes teaching proper guard technique on multiple pieces of equipment, instilling rigorous discipline, and development of the guard program.

COMMAND DIVISION

Holly Bernesser and Quinn Cavallo (Drum Majors) are the highest-ranking student leaders and assume complete command of the organization in that respect. The Drum Majors ultimately report to the Director of Bands and work with him in leading rehearsal and performances. The Drum Majors are also involved in the proper teaching of marching fundamentals, providing warm up exercises, rehearsing and conducting both the preparation and performance of the marching band, and are largely responsible for the promotion of pride and spirit within the band.

Tristen Davis, Sylvie Stanback, Dan Black, Daniel Sheils, Christian Smith, Ben Heidrich and Luna Logan. (Captains) are the ultimate heads of their specific area such as Woodwind, Percussion, Brass and Color Guard. Because of the nature of this job, these positions are limited to members who have had a minimum of two season's experience.

ADMINISTRATIVE DIVISION

Andrew Kaveler (Quartermaster) reports to the Drum Majors. He is in charge of Administrative Operations such Uniform, Music, and Equipment Detail. Since this position involves much of what the band does operationally, He is also involved in and navigates the proper use and treatment of the Uniform, Music, and Equipment.

GENERAL

Veterans are the bandsman in the "trenches" who have participated at least one season. They are instructed to help the Rookies to a higher level of performance. They are the ultimate executors of getting the job done.

Rookies are the bandsman in the “trenches” who have no marching band experience. They also are the ultimate executors of getting the job done.

REQUIREMENTS OF LEADERSHIP

When a student is selected or elected as a leader in the band it is an achievement of ability and responsibility. Each leader provides a service either to the band or the professional staff. In the same regard, expectations for leaders are slightly higher than for the other members. In return they are given unique opportunities and privileges. True leaders are not bossy or argumentative, but rather lead by example. They show interest in weaker members of the group and find ways to meet others on mutual ground. They implement the objectives laid down by the Director of Bands and the professional staff in a way that is effective and positive. In basic terms, true leaders are excellent followers. If you have been selected as a leader you must comply with the following guidelines:

> Support band director, professional staff and band program at all times > Be aware of and fulfill your specific job responsibilities > Attend as many Band Booster meetings as possible > Lead by example > ACTIVELY participate in all fundraisers > Fulfill all marcher requirements

BAND CAMP NECESSITIES

GOOD PAIR OF TENNIS SHOES WITH SOCKS (NO FLIP FLOPS OR SANDALS)

SUNSCREEN WITH A HIGH SPF FOR BOTH UVA AND UVB

HUGE WATER BOTTLE

HAT AND SUNGLASSES

MONEY FOR LUNCH AND DINNER

COMFORTABLE CLOTHES (THINK ON THE CONSERVATIVE SIDE)

PENCIL/PEN AND PAPER

HAND TOWEL

INSTRUMENT, MUSIC, AND SUPPLIES

LYRE AND FLIP FOLDER WITH EXTRA PAGES

TUNER

MEDICINE THAT MAY BE NEEDED/BUG STINGS ETC

POSTIVE ATTITUDE

THE BAND BOOSTER ORGANIZATION

The Hough High School Band program is supported by the Band Booster Organization, a group of parents and students who are actively involved in the functioning of the Band. While the ultimate authority is Mr. Carrington, the Band Booster Organization is available to assist the Director in assuring the best possible music educational and developmental programs are offered to the students of Hough High School. Should you have questions or comments concerning the Hough High School Band program, please contact the director or any officer of the Band Booster Organization.

The William A. Hough High School Band Booster Club

12420 Bailey Road

Cornelius, NC 28031

BAND LAB FEE AND FUNDRAISING

The Bands of William A. Hough High School will be actively involved in various fundraisers throughout the year. The funds raised go to help defray the costs of music, equipment, transportation to competitions and contests and general upkeep of the school-owned instruments. Without our fundraisers we would have a major deficit in our budget. The actual cost per student is over $800.00. Obviously fundraisers make up a major portion of our revenues for the year.

Fruit Sale One of our largest fundraiser will be our fruit sale. Students will be expected to sell 10 units of fruit or pay the difference. The sale begins in mid-September and orders are turned in by early November. The fruit will be delivered in December, just in time for the holidays.

Panthers Stadium Another outstanding fundraiser we offer to work at our Panthers Stadium Concession Stand. It is a great way to work off your lab fee and meet other band parents.

Miscellaneous Fundraisers Each year various other fundraisers are introduced and promoted. Take advantage of the fund raisers made available to you to help raise the necessary funds to operate the band program. Each year the fundraising team will determine the best use of our time and schedule fundraisers as needed.

MARCHING BAND LAB FEE SCHEDULE

You may pay the entire lab fee of $400.00

Or use the following payment schedule

6/1 $100 7/1 $150 8/1 $150

The full amount must be paid in full by August 1st in order to participate. This fee includes the Wind Band Lab Fee. Fundraising applies to forward balances.

FORMS THAT MUST BE COMPLETED

• Marching Band Participation/Code of Conduct Contract • Universal Permission Slip • CMS Standard Photographic Release • Marching Band Audit Form (if auditing) • Athletic Participation Form • Notice and Release Form

MARCHING BAND DATES Please review the schedule the below with your family calendar. Each band member will be placed in a spot based on their availability and attendance. It may be necessary to place a student as an alternate due to attendance concerns. EOY REHEARSALS-TUESDAY/THURSDAY 5-7pm 6/5, 6/7 SUMMER VOLUNTARY REHEARSALS-TUESDAYS 5-7pm 6/12, 6/19, 6/26, 7/10, 7/17, 7/24 PERCUSSION SUMMER REHEARSALS Monday, 5/21 6-8:30pm Tuesday, 5/29 6-8:30pm Monday, 6/18 1-4pm Tuesday, 6/19 5-8pm BAND CAMP DATES Wednesday 8/1 through Friday 8/3 7am-4pm Monday 8/6-Thursday 8/9 7am-8pm Friday 8/10 7am-4pm Monday 8/13 through Wednesday 8/15 7am-8pm Saturday 9/8 8am-8pm REGULAR REHEARSALS-TUESDAYS AND THURSDAYS 5pm-8pm 8/21, 8/23, 8/28, 8/30, 9/4, 9/6, 9/11, 9/13, 9/18, 9/20, 9/25, 9/27, 10/2, 10/4, 10/9, 10/11, 10/16, 10/18, 10/23, 10/25 PARADE REHEARSALS-TUESDAYS/THURSDAYS 2:30-4pm 10/30, 11/1, 11/8, 11/13, 11/15, 11/27, 11/29 (Disney Practices TBA) FOOTBALL GAMES-MOST FRIDAYS 8/23, 8/30, 9/14, 9/21, 9/28, 10/5, 10/12, 10/19, 10/28 and Playoff games COMPETITIONS-SATURDAYS 9/29, 10/6, 10/13, 10/20, 10/27 PARADES Veterans Parade 11/10th or 17th North Mecklenburg Parade 12/1 Disney Parade-January 2013

Dear Parent: In completing the form below, you and your student are indicating that the student will join Marching Band as a volunteer participant for this school year. Although grades and credit will not be received, volunteer members will be held accountable for the same standards as those students receiving grades. Full participation is required and students must uphold all policies and procedures outlined by the Charlotte-Mecklenburg Schools and the school instrumental program. Failure to do so may result in discontinuation in the program. If you have any questions regarding this letter, please contact me at robert.carrington@cms.k12.nc.us. Sincerely, Robert Carrington Marching Band Director

Marching Band Volunteer Participant Form

I, _________________________________, request permission to join Marching Band (Student’s Name, Please Print)

as a voluntary participant for this school year. I have read the above statement and understand that grades and credit will not be awarded. I understand that full participation is required and all policies and procedures for Charlotte-Mecklenburg Schools and the school instrumental program must be followed. I also understand that failure to comply with these policies may result in my discontinuation in the program. ________________________________________ _________________________ Student’s Signature Date ________________________________________ _________________________ Parent’s Signature Date ________________________________________ _________________________ Band Director’s Signature Date ________________________________________ _________________________ Principal’s Signature Date C: Permanent Record Performing Arts Specialist

PHOTO AND VIDEO RELEASE FORMI do hereby grant to Charlotte-Mecklenburg Schools the unlimited right to use and/or reproduce photographs*,likenesses or the voice of my child in any legal manner and for the internal or external promotional andinformational activities of Charlotte-Mecklenburg Schools. I also agree to allow my child to be interviewed and/or photographed* by representatives of the external news media and CMS-TV3 in relation to any and allcoverage of Charlotte-Mecklenburg Schools in which they are involved. I also agree to allow my child's workand/or photograph* to be published on the Charlotte-Mecklenburg Schools Internet/Intranet Web Pages, CMS publications or CMS-TV3. I further understand that by signing this release, I waive any and all present, or future compensation rights to the use of the above stated material(s).

School Name: _______________________________________________________________________________________________

Student's Name: ________________________________________ Homeroom Teacher: _________________________________

Parent/Guardian Signature: ________________________________ Date: _____________________________________________

Parent/Guardian Name (Print): __________________________________________________________________________________

Parent/Guardian Address: ______________________________________________________________________________________

Signature of Witness: ____________________________________ Date: _____________________________________________

* Photograph in this Release Form is intended to only refer to photos of your child alone. Group photographs (2 or morechildren), with no additional identifying information, are considered Directory Information. Please review the FERPAinformation sheet provided in your packet.

THIS INFORMATION TO BE COMPLETED BY SCHOOL OFFICIALS ONLY.

Your Name:_____________________________________________ Date: _____________________________________________

Type of Material

� Photograph � Slide � Videotape� Other (please specify:) _______________________________________________________________

Use of Material (Please provide additional information such as name of news outlet, brochure, purpose of presentation, etc.)

� News Outlet: ______________________________________________________________________� CMS Internet/Intranet Site(s):_________________________________________________________� Brochure:_________________________________________________________________________� CMS-TV3: _______________________________________________________________________� PowerPoint Presentation: _____________________________________________________________

Form # 6162.5 | 8/06 Please complete form and return to your student’s school. page F-3

Hough Mighty Husky Marching Band Participation Contract and Code of Conduct

I am happy that you want to be a part of the award-winning Hough Mighty Husky Marching Band. In order for the Marching Band to present the highest quality performance possible, every band member counts on every other band member to put forth their best effort. When even one band member fails to commit to the Band, or fails to exhibit good conduct, the performance of the entire band is affected. Therefore, as a requirement for membership in the Marching Band, you and your parents/guardians must read and sign the following Participation Contact and Code of Conduct. -Robert Carrington, Director

Participation Contract

“There's a difference between interest and commitment. When you're interested in doing something, you do it only when circumstance permit. When you're committed to something, you accept no excuses, only results.” - Unknown When you make the decision to become a part of the Hough Mighty Husky Marching Band, you make a commitment to become part of a single unit dedicated to excellence. In addition, the Hough Mighty Husky Marching Band makes a commitment to incorporating you as an equal member of the group. You are committing your talents, your time, and your financial support. The Band counts on you to fulfill the role you are given in the band and makes a significant financial outlay on your behalf. When you turn in your enrollment form to join the Hough Mighty Husky Marching Band, you are immediately considered when music is being written, when marching drill is being written, when buses for travel are being reserved, when shirts and other supplies are being ordered, etc. Therefore, your initial enrollment deposit is a non-refundable payment of $100. At least this amount or more is outlaid or committed by the band on your behalf before the start of band camp. Additional payments towards your marching band lab/participation fee must be made according to the schedule that will be listed on the Band’s web site at www.houghhsband.org. Payments MUST be made on time and all fees must be paid prior to the start of band camp. If you decide prior to band camp that you do not want to participate in the Marching Band, all fees paid (with the exception of the non-refundable enrollment deposit of $100) will be refunded. Once you have attended band camp, no fees can be refunded if you later decide that you do not want to participate in the Marching Band. If you are removed from Marching Band due to violations of the Code of Conduct, no fees will be refunded. Be sure to consider the following when making the commitment to join the Hough Mighty Husky Marching Band:

• All students are required to attend ALL practices, sectionals, games, competitions,

events and activities as listed on the Calendar. Absences from rehearsals have a significant effect on the band’s ability to move ahead. Since we must perform as a complete group, it is therefore imperative that we rehearse as one.

• All students are required to be on time for all practices, sectionals, games, competitions, events and activities listed on the Calendar. On time means be in your spot with your instrument or equipment ready to perform. To be on time, you must arrive at school (or other meeting place) at least 15 minutes before call time. Remember, early is on time, and on time is late.

• All students are required to make sure other commitments will not conflict with the Marching Band calendar. This means all vacations, driver’s education, doctor’s appointments, sports, clubs, etc. must be scheduled at times that do not conflict with the Marching Band calendar. These types of events will not be an excuse to be absent, late, or leave early from any Band practice or event.

• Students must make a commitment to practice their music every day and memorize it as soon as possible. Only with continued practice will student performance improve. It is expected that all students will come in to the marching band program with different levels of expertise; however, every student should continually strive to improve and never feel that they’ve reached a level where they do not need to improve. Students who have not mastered and memorized their music by the time performances begin may be asked to sit on the sidelines and let an Alternate fill their position until they have sufficiently practiced and learned their music.

• All students are required to participate in all Marching Band fundraisers. Fundraising efforts are necessary to help keep student participation fees as low as possible. Fundraisers are also necessary for the continued growth of the band programs and provide a bonding experience among students.

• All parents/guardians are expected to assist with the Marching Band as they are able. The success of the band depends on the help provided by the adults committed to their students. Adults are needed to chaperone at football games, competitions, and other performances. Adults are needed to help with uniforms, equipment, dinners, etc. Adults are also needed for several fundraisers such as the Panther’s concession booth, citrus fruit sale, competitions hosted by our Band, etc.

Code of Conduct “Music is a discipline, and a mistress of order and good manners; she makes the people milder and gentler, more moral and more reasonable.” -Martin Luther The success of the Marching Band is dependent upon the dedication, attendance, and appropriate behavior of all members of the group. Absences and tardiness from rehearsals have a significant effect on the band’s ability to move ahead, as do negative or inappropriate behaviors. When you wear the uniform of the Hough Mighty Husky Marching Band, you are identified as a representative of the band, of the school and of the community. Even when not performing, your role as an ambassador continues. As such, all members of the Hough Mighty Husky Marching Band will be held to high behavior standards. The minimum expectations of appropriate behavior can be found in the Hough Mighty Husky Marching Band handbook and the Charlotte Mecklenburg Schools Student Rights, Responsibilities and Character Development handbook. There will be immediate consequences for not following the Code of Conduct, and continued offenses can result in the student being suspended from the next marching performance, being referred to the school for appropriate school penalties, and dismissal from the Marching Band. Some important guidelines to remember:

• Insubordination will not be tolerated. Marching band members are expected to follow the direction of directors, band staff, and any students in leadership positions (drum major, section leader, etc.).

• Marching band members are expected to use appropriate language at all times. Use of swear words or inappropriate discussions are unacceptable while representing the band.

• All students are required to attend ALL practices, sectionals, games, competitions,

events and activities. Any absence, late arrival, or early dismissal must be approved by the band director at least two weeks in advance. The only exception to this policy is illness, death in the family, or other family emergency. The band director has final discretion as to whether a particular family emergency is a justifiable reason for absence, late arrival, or early dismissal. Unexcused tardies or absences not only impact on the individual but also prohibit the band in general from functioning properly at rehearsal. There is too much vested effort, time and money involved in this activity for individuals to be unaccountable for absences. Either an alternate will automatically be inserted in a slot where an absent member is missing or their spot will be removed from the drill

• Eating and drinking are permitted only during designated times while in uniform.

• Use or possession of tobacco products, alcoholic beverages and/or narcotics is

strictly prohibited. Students violating this policy will be reported to the proper

authorities where they will face legal consequences in addition to school penalties.

• Body language and gestures must be appropriate at all times. Students must

refrain from inappropriate gestures, excessive displays of public affection, etc. while representing the band.

• Bullying, harassment or fighting of any sort is unacceptable.

• Students must be in eye-shot and ear-shot of a supervising adult at all times. In

the event a student needs to separate from the main band (bathroom, medical, etc.), they must be accompanied by an adult.

This list is not comprehensive and represents only the key items. In addition to the consequences listed above, students in violation of the code of conduct will be subject to appropriate school penalties (as listed in the student handbook). Depending on the severity and/or repetition of violations, the director reserves the right to remove any student from the band. Any offense that would result in out of school suspension (OSS), committed while attending a band event or practice, will be grounds for immediate dismissal from the band. A student that has been removed from the band for any reason will not receive credit for their participation during that season. At the discretion of the director, the student may not be permitted to join other extracurricular music ensembles (pep band, jazz band, etc.). The student may apply for readmission at the beginning of the next marching season. Readmission is at the discretion of the band director.

STUDENT AGREEMENT

I have read and agree to follow the rules and regulations set forth in this Participation Contract, this Code of Conduct, the Hough Mighty Husky Marching Band Handbook, and the Charlotte Mecklenburg Schools Student Rights, Responsibilities and Character Development handbook. I have also read the calendar, and I am aware of the dates to which I am committing. I realize the importance that my attendance plays in the success of the marching band, and I agree to abide by the guidelines stated in this policy. I understand that failure to follow the Code of Conduct and the rules in the handbooks will subject me to penalties and consequences. I further understand that if I am unable to comply with these rules and the associated penalties, I will be dismissed from the Hough Mighty Husky Marching Band with no refund of fees paid. I agree that I have read and understand what is expected of me with regard to the maintenance and wearing of my band uniform. I realize that I will be expected to replace, at my own expense, any part of the uniform that is lost or damaged while it is issued to me. I also agree to pay for any unscheduled cleanings that may be required for my uniform, due to misuse or excessive soil. If I am a member of the student leadership team I agree that I will be an example to those under my direction and will perform the responsibilities of a leader as is described in Marching Band Handbook. Please fill out the rest in neat handwriting: Student Signature: ______________________________________ Date: _________________ Student’s Printed Name: ________________________________________________________ Marching Instrument: __________________________________________________________ Shirt Size (Circle) Small Medium Large XL XXL Student Email Address: ________________________________________________________ Schedule Conflicts and Dates: __________________________________________________ ******************************************************************************

PARENT/GUARDIAN AGREEMENT I/We, the parent(s)/guardian(s) of _______________________________, have read the Hough Mighty Husky Marching Band Participation Contract, the Code of Conduct, the Hough Mighty Husky Marching Band Handbook, and the Charlotte Mecklenburg Schools Student Rights, Responsibilities and Character Development handbook. I/We have also read the calendar, and am/are aware of the dates to which my/our student is committing. I/We agree to help our student to fulfill his/her obligation. I understand that there will be consequences for not following the Code of Conduct and the rules as listed in the handbooks and the consequences can lead to the student’s dismissal from the band with no refund of fees paid. This form needs to be signed by any parent or guardian of the student who will be caring for the student during the marching band season. Signature: _____________________________________ Date: ________________ Signature: _____________________________________ Date: ________________

CHARLOTTE-MECKLENBURG SCHOOLS CLASS TRIP STUDENT PERMISSION FORM

Date: May 1, 2012

Dear Parents: Class trips have been approved to all regularly scheduled Hough High Marching Band functions for the 2012-2013 School Year

Purpose: To represent Hough High School at selected marching band activities such as clinics, festivals, competitions, football games, and requested performances. The signature of a parent/guardian is required in order to allow your child to participate in these off-campus trips. Please sign the bottom portion of this form and return the entire form to the teacher. Sincerely, Robert W. Carrington Director of Bands William A. Hough High School Mode of travel: [X] School/Activity Bus [ ] Car(s) [ X] Other : Charter Bus

Cost of trip (if any): $TBD

Time of departure from school: TBA Time of return to school: TBA

I have read the field trip description. I give permission I do not give permission

for to go on this trip sponsored by the Student’s full name Charlotte-Mecklenburg schools. Cash or check enclosed, if applicable. Date Parent/Guardian

Approved: March 2010

Charlotte-Mecklenburg Schools High School Student-Athlete Pre-Participation Form

* Please take the time, read through the questions, and answer to the best of your knowledge.*

PERSONAL & EMERGENCY CONTACT INFORMATION

Name (First, MI, Last): ________________________________________________________ CMS Student ID # __________________

Gender: M F Date of Birth: ___________________ Age: ______________ Home Phone: __________________________

Parent(s) / Legal Guardian(s) Residing With: _________________________ Who has legal custody? ____________________________

Father’s Name: ______________________________________________ Alternate Phone (Work or Cellular): ______________________

Mother’s Name: ______________________________________________ Alternate Phone (Work or Cellular): ______________________

Street Address: ___________________________________________________________ Apartment / Unit # ______________________

City: ______________________________________________________ State: ________________ Zip Code: ____________________

Family Physician/Pediatrician: ____________________________________________________ Phone: ___________________________

Preferred Hospital: Permission to Transport: Yes No

SPORT (*check all sports you are considering to participate in*)

FALL WINTER SPRING

Football! Men Basketball! Baseball!

Men Cross-Country! Women Basketball! Softball!

Men Soccer! Wrestling! Men Track!

Cheerleading! Cheerleading! Women Track!

Women Tennis! Men Swimming / Diving! Women Soccer!

Women Cross-Country! Women Swimming / Diving! Men Golf!

Women Volleyball! Men’s Indoor Track Men Tennis!

Women Golf! Women’s Indoor Track Men Lacrosse!

! ! Women Lacrosse!

INSURANCE School Board Policy (#5143) requires that all students who participate in athletics be adequately covered by medical or accident insurance. We acknowledge that it is the signed responsibility to notify CMS of any changes that occur to the personal insurance policy below and affect the procedures in which the above-named individual may receive treatment; this includes loss of coverage. We certify that we have purchased and will maintain in full force and effect during student-athlete’s participation in athletics the following insurance policy: Check One: " School Accident Insurance " Personal Insurance Company

__ Name of Insurance Company Policy Number Group Number

__ Insurance Phone for Authorization Policy Holder

RELEASE In consideration of CMS allowing the above-named individual to participate in athletics, we agree to release and hold CMS, its athletic coaches, and other employees free, harmless and indemnified from and against any and all claims, suits, or causes of action arising from or out of injury that the student-athlete may suffer from participation in athletics other than an injury from gross or willful negligence.

ASSUMPTION OF RISK We acknowledge and understand that there is a risk of injury involved in athletic participation. We understand that the student-athlete will be under the supervision and the instructions of the coach in order to reduce the risk of injury to the student and other athletes. However, we acknowledge and understand that neither the coach nor CMS can eliminate the risk of injury in sports. Injuries may and do occur. Sports injuries can be severe and in some cases may result in permanent disability or even death. We freely, knowingly, and willfully accept and assume the risk of injury that might occur from participation in athletics.

HIPAA / FERPA RELEASE The above named student-athlete has opted his/her rights under the US Department of Health and Human Resources guidelines. By signing this release, the student-athlete allows sharing of medical information between the Sports Medicine Staff (team physicians and medical staff, athletic trainers, and student assistants), the CMS Athletics Staff (Athletic Director and Coaches), CMS Administration and his/her medical provider(s). In the event of an emergency situation, information may be shared with emergency medical personnel. Every reasonable effort will be made to protect this information. It is understood that once this medical information is disclosed, it is no longer protected under the HIPAA/FERPA guidelines.

PARENT / GUARDIAN SIGNATURE

Student-Athlete Signature: Date:

Parent/Guardian Signature: Date:

Student  Accident  Insurance  for  Athletics  NOTICE  and  RELEASE  

 IMPORTANT:     THIS  NOTICE  AND  RELEASE  MUST  BE  SIGNED  AND  RETURNED  

BEFORE  YOUR  SON/DAUGHTER  CAN  PARTICIPATE  IN  THIS  PROGRAM.  

 TO:   Parents  of  Students  Interested  in  Participating  in  Athletics/MB    SUBJECT:   Student  Accident  Insurance  for  Athletics    SPORT(S):   ____________________________________________________    Please  read  this  Notice  &  Release  carefully  and  make  sure  that  you  understand  its    Provisions  BEFORE  deciding  whether  to  permit  your  son  or  daughter  to  participate  in  this  program.    

1. Board  of  Education  Policy  No.  5143  requires  that  the  Student  Accident  Insurance  offered  by  the  school  system  will  be  REQUIRED  for  all  students  participating  in  middle  and  senior  high  school  athletics  unless  an  insurance  waiver  form  is  signed  by  the  parent  indicating  adequate  personal  insurance  and  releasing  the  Board  of  Education  and  its  employees  from  responsibility  for  any  claim  due  to  injuries  received  while  participating  in  a  school  sponsored  program.    

2. There  are  limitations  in  the  Student  Accident  Insurance  coverage.  IT  WILL  NOT  ALWAYS  PAY  ALL  OF  THE  CHARGES  INCURRED  FOR  EVERY  ACCIDENT.  For  a  summary  of  the  coverage  and  benefits  provided  by  the  Student  Accident  Insurance,  please  read  the  current  Student  Accident  Insurance  Brochure  that  was  furnished  to  each  student  at  the  beginning  of  the  school  year.  If  you  did  not  receive  the  brochure  or  if  you  have  questions  about  the  insurance  coverage  provided  under  the  policy,  contact  the  Director  at  the  school  where  your  son/daughter  is  enrolled.  

 3. To  be  eligible  for  practice  or  participation  in  any  school  athletic  program,  each  

participant  must  receive  an  ANNUAL  MEDICAL  EXAMINATION  and  return  a  physical  examination  form  each  calendar  year  (once  every  365  days)  signed  by  a  physician  licensed  to  practice  medicine.  

 4. Neither  the  Board  of  Education  nor  any  of  its  employees  assumes  any  

responsibility  for  claims  resulting  from  injury  to  your  son/daughter  while  he  or  she  is  participating  in  the  school  program.  This  means  that  you  will  have  to  pay  for  any  medical  expenses  not  covered  by  the  Student  Accident  Insurance,  any  personal  insurance  coverage  that  you  might  have  and/or  any  other  applicable  insurance.  

 5. I,  _____________________________________,  (print  name)  hereby  state  that  I  

have  read  and  understand  the  provisions  of  this  Notice  and  Release  as  well  as  the  Student  Accident  Insurance  Brochure.  I  further  state  that  prior  to  signing  this  document  I  have  had  an  opportunity  to  ask  questions  and  that  my  questions  have  been  answered  to  my  satisfaction.  I  acknowledge  that  neither  the  Board  of  Education  nor  any  of  its  employees  assumes  any  responsibility  for  claims  resulting  from  injury  to  my  son/daughter  due  to  his  or  her  participation  in  this  program.  I  HEREBY  WAIVE,  RELEASE,  AND  DISCHARGE  the  Charlotte-­‐Mecklenburg  Board  of  Education  and  its  employees  from  any  responsibility  for  claims  resulting  from  injuries  to  my  son/daughter  due  to  his  or  her  participation  in  this  athletic  program.  I  hereby  certify  that  my  son/daughter  has  received  a  MEDICAL  EXAMINATION  and  has  returned  a  physical  examination  form  in  compliance  with  the  policy  set  forth  in  paragraph  3  of  this  Notice  and  Release.  I  certify  that  I  consent  to  have  my  son/daughter  participate  in  the  school  activity  as  identified  on  this  Notice  and  Release.  I  make  the  following  representation  and  selection  (check  one,  sign  and  return  promptly):    __________     I  have  adequate  personal  insurance  that  will  cover  injuries  that    

might  be  sustained  by  my  son/daughter  as  a  result  of  his/her    participation  in  the  program.  I  understand  that  in  the  event  my    son/daughter  sustains  any  injuries  as  a  result  of  his/her  participation  in  the  school  activity,  I  am  responsible  for  payment  of  medical  expenses  or  other  items  not  covered  by  any  personal  insurance.  

    __________   My  son/daughter  has  enrolled  in  the  Student  Accident  Insurance         Program  on  the  following  date:  ________________.  I  understand         that  in  the  event  my  son/daughter  sustains  any  injuries  as  a  result         of  his/her  participation  in  the  school  program,  I  am  responsible           for  payment  of  any  medical  expenses  or  other  items  not  covered         by  the  Student  Accident  Insurance.    SIGNED  (PARENT  OR  LEGAL  GUARDIAN):  ______________________________________    DATE  OF  SIGNATURE:  _____________________________________________________    ADDRESS:  _______________________________________________________________    STUDENT’S  FULL  NAME:  ___________________________________________________    SCHOOL:  ________________________________________________________________    STUDENT’S  SOCIAL  SECURITY  NUMBER:  _______________________________________  

Form 5120.6 Page 1 MEDICATION AUTHORIZATION FOR CMS STUDENTS

School Name___________________________________Telephone_____________________Fax_______________________ To the parent or guardian of ______________________________________________Birth Date______________________ In order to help protect your child's health, your consent and written authorization from a licensed healthcare provider are required when it is necessary for your child to receive either prescription or non-prescription medicines in the Charlotte-Mecklenburg Schools. No medications will be given to your child at school until this authorization has been received. A separate form is required for each medicine. New authorization forms are required every year at the beginning of school, whenever the dose or directions change, or when a new medicine is prescribed. It is your responsibility to provide all medicines to be given at school. Each medicine must be in an appropriately labeled original container from the pharmacy or healthcare provider's office. Most pharmacies will provide an extra container for school use upon request. Administration of non-prescription medicines at school is discouraged. PARENT OR GUARDIAN'S PERMISSION: I give permission for my child to receive the medicine described below during school hours. I understand that it is my responsibility to purchase and supply this medicine. On behalf of my child I absolve the Charlotte-Mecklenburg Board of Education and their agents and employees from any and all liability whatsoever that may result from my child taking this medicine at school.

_______________________________________________ _____________________________________________________ Signature of parent or guardian Date Contact numbers (pager or mobile, work, home telephone #s)

FOR LICENSED HEALTHCARE PROVIDER USE ONLY: please write legibly using lay terms Medication prescribed:________________________________________Strength/Dose________________________________ Specific Directions [include exact amount to give, at what time and/or how often, relationship to meals, specific indications, e.g. if prn (as needed)]: Purpose of Medication:____________________________________________________________________________________________ Relationship to meals, if applicable _________________________________________________________________________ How often and at what time (hour):_________________________________________________________________________ Specify side effects or adverse reactions: ___________________________________________________________________________________ Other instructions (including emergency situations)____________________________________________________________ ______________________________________________________________________________________________________ Please check all appropriate items. If either of the first two items is checked, page 2 of this form must be completed.

Please allow this student to self-administer this medication while at school during school hours (must complete page 2 of this form).

This student should carry the medication with him/her at all times during the school day, while at school-sponsored events, or while in transit to or from school or school-sponsored activities (must complete page 2 of this form).

This medication is to be used for emergencies only. It is necessary for this student to receive this medication during school hours in order to maintain or improve health and to benefit from school attendance. Please notify the principal and/or school nurse and parents/guardians if there are any problems. _________________________________________________ _________________________ _________________________ Signature of Healthcare Provider Date Telephone Fax ______________________________________________ ______________________________________________________ Please print Provider's last name Practice name or address FOR SCHOOL USE ONLY: Date Received/By: ___________________________________________School Nurse Review:_________________________

Form 5120.6 Page 2

AUTHORIZATION FOR SELF-MEDICATION BY CMS STUDENTS

Student's Name__________________________________________ Birth Date_____________________ Medication___________________________________for ______________________________________ Eligibility: In accordance with CMS Policy JLCD, Administering Medications to Students, and its accompanying regulation, JLCD-R, only students who meet the following descriptions may possess and self-administer medications: (1) Students with special medical needs such as asthma and/or severe allergies or who are subject to anaphylactic reactions and may require emergency medications (i.e., asthma inhaler or epinephrine auto-injector [“Epi-pen”]); and (2) Students who require frequent administrations of non-prescription medications or prescription medications that are not controlled substances. Healthcare Provider: The student named above has (1) asthma or an allergy that could result in an anaphylactic reaction and may require emergence medications; or (2) a condition that requires frequent administration of a prescription or non-prescription medication. The medication is not a controlled substance. This student is capable of, has been instructed on the procedures for, and has demonstrated the skill to self-administer this medication as directed on page 1 of this form. Please allow him/her to self-administer the medication during school hours and as otherwise indicated on page 1 of this form. This student will not require adult supervision while taking this medication. Physician signature/date_____________________________________________________ Parent/Guardian: I give consent to the Charlotte-Mecklenburg Schools to allow my child to self-administer this medicine at school. I understand that my child and I assume responsibility for the proper use and safekeeping of this medicine. If the medication that is prescribed for my child is for the treatment of asthma or anaphylactic reactions, I agree to provide a supplementary supply of the medication that will be kept by the school in a location to which my child has immediate access. I absolve the Charlotte-Mecklenburg Board of Education and their agents and employees from any and all liability whatsoever that may result from my child possessing or taking this medicine at school. I further consent for the information about my child included on pages 1 and 2 of this form to be shared with appropriate school staff as necessary for the safety of my child. Parent signature/date _______________________________________________________

Student: I am capable of taking this medicine as recommended and accept this responsibility. I will keep it secure at all times and will not share it with others. I understand that I will be subject to discipline under the Student Code of Conduct if I abuse the privilege of being allowed to self-medicate while at school or school-sponsored activities. Unless the medication is prescribed for the treatment of asthma or anaphylactic reactions, I understand that I will lose the privilege of self-administering my medication if I do not follow these rules. Student signature/date ______________________________________________________ School Nurse: I have reviewed this request and acknowledge that this student has demonstrated the skill level to self-administer this medication. I have informed this student that he or she must tell an appropriate staff member whenever he or she has used the medication at school.

Nurse signature/date ________________________________________________________

Updated 6/05 Med 1