FWBHS VIKING BAND – FORMS SUMMARY DOCUMENT
04/26/2014
2014-2015 Forms Guideline
The purpose of this document is to summarize the key forms, which need to be completed by each and
every student (and their parents) for participation in the FWB High School Band. The forms are
available in paper format in the band room and in downloadable / printable format from the website
(http://www.fwbhs-band.com).
Where do I Turn Forms In?
The ONLY official place to turn forms in is in the clearly marked form receptacles located in the Band
Director’s office. The Band Director’s office has a square column in the middle of the room.
Receptacles will be placed near the column and will be clearly marked for forms collections. On
occasion, we may provide access to the form receptacles at Band Meetings or gatherings.
-
-
Do NOT turn any forms into the main office. Our experience has been that many forms turned
into the main office never make it back to our records. This means you will have to fill the form
out again. This includes the volunteer form. We will make a copy of the volunteer form for our
records and submit to the main office.
If you send your forms in with your student, you may want to drop an email for the board to
keep an eye out for the form. Many times, students get busy and the forms do make it to
school but not into the receptacles.
FWBHS VIKING BAND – FORMS SUMMARY DOCUMENT
04/26/2014
2014-2015 Required Forms for Turn-in
Form
2014-2015 Calendar Contract
2014 Color Guard Audition Information
Medical Release and Information Form
Volunteer Affidavit
Viking Band Student Data Sheet
FWBHS Band Parent Volunteer Information
Sheet
On - Off Campus Student Activity Form
Band Instrument Fee Agreement
Percussion Equipment Fee Agreement
2014 Auction Merchant Letter
2014 Auction Merchant Receipt
What you need to do
Read, Sign and Turn-in
- Contains year schedule
- Contains expectations
- Contains contact information
Keep a copy!
Read, Sign and Turn-in for ALL Color Guard
- Contains year schedule
- Contains expectations
- Contains contact information
Keep a copy!
Complete, Sign and Turn-in
- Provides our nurse the best information
to care for your student while on band
activities
- Required to attend any band activities
Complete, Get Notarized and Turn-in
- The band provides a notary at Band
meetings
- The main school office provides a notary.
However, turn in the form in the band
room.
- The band does not receive copies of
forms turned into the main school office.
You will have to re-do any form turned in
to the main office for the band.
Complete and Turn-in
Complete and Turn-in
Complete, Get Notarized and Turn-in
- Required for students to attend any band
event other than class!
Complete and Turn-in with Payment
- Required for ALL students
Complete and Turn-in with Payment
- Required by ANY student that plays a
percussion instrument at ANY time
during the year
Contact at least ONE vendor and obtain at least
ONE auction item.
- We need every student to provide at
least one item.
- We need these items as soon as we can
get them
For each item received:
FWBHS VIKING BAND – FORMS SUMMARY DOCUMENT
2014 FWBHS Band Premium Sponsors
2014 Fort Walton Beach High School Football
Program
2014 FWBHS Band Signage and Web Advertising
2014-2015 Fort Walton Beach High School Band
Trip
04/26/2014
- Complete
- Tear in half
- Give top half to vendor
- Turn-in bottom half
Contact at least ONE vendor and obtain at least
ONE Premium Sponsor
- We need every student to provide at
least one Advertisement.
Contact at least ONE vendor and obtain at least
ONE Football Program Advertisement.
- We need every student to provide at
least one Advertisement.
Contact at least ONE vendor and obtain at least
ONE Signage Advertisement.
- We need every student to provide at
least one Signage Advertisement.
Complete and Turn-in with Payment
- Optional, but highly recommended for
ALL students
2014-2015 Forms to Read
Form
FWBHS Band Audition Requirements
Policy - Excused Absence
Policy – Grading
Policy – Attendance
What you need to do
Read and Review
Read and Review
Read and Review
Read and Review
FWBHS VIKING BAND – FORMS SUMMARY DOCUMENT
2014-2015 Required Forms for Turn-in
04/26/2014
FWBHS VIKING BAND – FORMS SUMMARY DOCUMENT
2014-2015 Required Forms for Turn-in
04/26/2014
Viking Band Calendar 2014-15 (Draft Version)
May---------------------------------------------------May 29th – Band Room –Viking Band Night – Parents and Students welcome – Full Band and Color Guard Preview this summer and next school year – ask questions
June ------------------------------------------------------------------------------------------------------------------------------------9th, 12th, 16th, 19th – Freshman Band Members with leadership team – marching and music – rehearsals – 6-9pm
23rd, & 26th – Full Band – everyone report - marching and music – rehearsals – 6-9pm
July -----------------------------------------------------------------------------------------------------------------------------------7th – Full Band – Everyone – 6-9pm
14-18 – Percussion Camp – see percussion calendar for times
14th, & 17th – Full Band – 6-9pm
21st, 22nd, 23rd, 24th – Band Camp – 6-10pm – everyone in attendance – begin learning the show
28th & 31st – Full Band – 6-10pm
August ----------------------------------------------------------------------------------------------------------------------------------4th, 7th, 11th, 14th – Full Band – 6-10pm
7th – group pictures at the beginning of rehearsal – 6pm
18th – First Day of School – Practice 6-8:30pm
21st – Practice – 6-8:30
22nd – Home vs Pensacola Catholic
Continue Monday and Thursday Rehearsals until mid-November
29th – Home Game vs Biloxi HS
September -----------------------------------------------------------------------------------------------------------------------------Continue Monday & Thursday rehearsals until mid-November
5th – away vs Gulf Breeze HS
6th or 13th – All State Auditions
12th – Home Game vs Milton
19th – Away Game vs Tallahassee Richards – not attending
26th – Home Game vs Crestview
October ---------------------------------------------------------------------------------------------------------------------------------Continue Monday & Thursday rehearsals until mid-November
3rd – Away vs Navarre
4th – Southeastern States Marching Band Festival – Troy, Al.
10th – Homecoming vs Pace
11th – FBA District Marching Band MPA – We Host
TBA – All County Auditions
17th – Away vs Niceville
24th – Away vs Tate
31st – Home game vs Choctaw
November ------------------------------------------------------------------------------------------------------------------------------End fall rehearsals
Begin Winter Guard Rehearsals
10th – Veterans Day Parade – Mary Esther
TBA – All County Rehearsals – 4th, 6th, 11th, 13th, 14th
15th – All County Honor Band
December ------------------------------------------------------------------------------------------------------------------------------1st or 8th – FWB Christmas Parade – evening
6th or 13th – Destin Christmas Parade – morning
January 2013---------------------------------------------------------------------------------------------------------------------------7-11 – All State Band – FMEA Conference
Winter Guard & Winter Percussion competitions begin and run through mid-April
February -------------------------------------------------------------------------------------------------------------------------------20th – Solo and Ensemble Assessment – Gulf Breeze
27th – Jazz Band Assessment
March ----------------------------------------------------------------------------------------------------------------------------------6th or 7th – High School Concert Band Assessment
12th & 13th – Middle School Concert Band Assessment – we host
23rd – 27th – Spring Break
April ------------------------------------------------------------------------------------------------------------------------------------TBA – mid April – possible winter guard or winter percussion trip to Dayton Ohio
TBA – mid to late April – State Concert Band MPA
May -------------------------------------------------------------------------------------------------------------------------------------4th – TBA - Band Banquet
21st – TBA - Spring Concert
Fort Walton Beach High School
“Viking Band”
400 Hollywood Boulevard SW
Fort Walton Beach, Florida 32548
Telephone (850) 833-3300x2507
Fax: 850-833-3311
www.fwbhs-band.com
Randy Folsom, Director
[email protected]
Derek Fields, Assistant Director
[email protected].
us
Grading Policy – Students will
receive a grade: 40%
Performances, 40% Rehearsals,
and 20% Assignments. Each
student will start with 100 points in
each category. The rehearsal grade
will be based on attendance during
and after school. Points will be
deducted for unexcused absences.
Excused Absence Criteria
1) Personal Illness
2) Death of a Relative
3) Observance of a Religious
Holiday
4) Emergency circumstances
which, in the judgment of
the band director constitute
good and sufficient cause
for the absence.
Whenever possible you must give
prior notice of an absence. If prior
notice is not given, it is your
responsibility to bring a note from
your parent or guardian stating the
reason for being absent from a
rehearsal or event. All absences
will be assumed unexcused until
the student takes the proper steps
to have the absence excused.
Please sign and return
I have read the information and policies contained in this document. I understand that I am making a commitment to the Fort Walton Beach High School Band and will abide by
all of the policies of the organization.
___________________________________________ ____________________________________________ ____________________________________________
Student Name (print)
Student Signature
Parent Signature
Viking Band Calendar 2014-15 (Draft Version)
May---------------------------------------------------May 29th – Band Room –Viking Band Night – Parents and Students welcome – Full Band and Color Guard Preview this summer and next school year – ask questions
June ------------------------------------------------------------------------------------------------------------------------------------9th, 12th, 16th, 19th – Freshman Band Members with leadership team – marching and music – rehearsals – 6-9pm
23rd, & 26th – Full Band – everyone report - marching and music – rehearsals – 6-9pm
July -----------------------------------------------------------------------------------------------------------------------------------7th – Full Band – Everyone – 6-9pm
14-18 – Percussion Camp – see percussion calendar for times
14th, & 17th – Full Band – 6-9pm
21st, 22nd, 23rd, 24th – Band Camp – 6-10pm – everyone in attendance – begin learning the show
28th & 31st – Full Band – 6-10pm
August ----------------------------------------------------------------------------------------------------------------------------------4th, 7th, 11th, 14th – Full Band – 6-10pm
7th – group pictures at the beginning of rehearsal – 6pm
18th – First Day of School – Practice 6-8:30pm
21st – Practice – 6-8:30
22nd – Home vs Pensacola Catholic
Continue Monday and Thursday Rehearsals until mid-November
29th – Home Game vs Biloxi HS
September -----------------------------------------------------------------------------------------------------------------------------Continue Monday & Thursday rehearsals until mid-November
5th – away vs Gulf Breeze HS
6th or 13th – All State Auditions
12th – Home Game vs Milton
19th – Away Game vs Tallahassee Richards – not attending
26th – Home Game vs Crestview
October ---------------------------------------------------------------------------------------------------------------------------------Continue Monday & Thursday rehearsals until mid-November
3rd – Away vs Navarre
4th – Southeastern States Marching Band Festival – Troy, Al.
10th – Homecoming vs Pace
11th – FBA District Marching Band MPA – We Host
TBA – All County Auditions
17th – Away vs Niceville
24th – Away vs Tate
31st – Home game vs Choctaw
November ------------------------------------------------------------------------------------------------------------------------------End fall rehearsals
Begin Winter Guard Rehearsals
10th – Veterans Day Parade – Mary Esther
TBA – All County Rehearsals – 4th, 6th, 11th, 13th, 14th
15th – All County Honor Band
December ------------------------------------------------------------------------------------------------------------------------------1st or 8th – FWB Christmas Parade – evening
6th or 13th – Destin Christmas Parade – morning
January 2013---------------------------------------------------------------------------------------------------------------------------7-11 – All State Band – FMEA Conference
Winter Guard & Winter Percussion competitions begin and run through mid-April
February -------------------------------------------------------------------------------------------------------------------------------20th – Solo and Ensemble Assessment – Gulf Breeze
27th – Jazz Band Assessment
March ----------------------------------------------------------------------------------------------------------------------------------6th or 7th – High School Concert Band Assessment
12th & 13th – Middle School Concert Band Assessment – we host
23rd – 27th – Spring Break
April ------------------------------------------------------------------------------------------------------------------------------------TBA – mid April – possible winter guard or winter percussion trip to Dayton Ohio
TBA – mid to late April – State Concert Band MPA
May -------------------------------------------------------------------------------------------------------------------------------------4th – TBA - Band Banquet
21st – TBA - Spring Concert
Fort Walton Beach High School
“Viking Band”
400 Hollywood Boulevard SW
Fort Walton Beach, Florida 32548
Telephone (850) 833-3300x2507
Fax: 850-833-3311
www.fwbhs-band.com
Randy Folsom, Director
[email protected]
Derek Fields, Assistant Director
[email protected].
us
Grading Policy – Students will
receive a grade: 40%
Performances, 40% Rehearsals,
and 20% Assignments. Each
student will start with 100 points in
each category. The rehearsal grade
will be based on attendance during
and after school. Points will be
deducted for unexcused absences.
Excused Absence Criteria
5) Personal Illness
6) Death of a Relative
7) Observance of a Religious
Holiday
8) Emergency circumstances
which, in the judgment of
the band director constitute
good and sufficient cause
for the absence.
Whenever possible you must give
prior notice of an absence. If prior
notice is not given, it is your
responsibility to bring a note from
your parent or guardian stating the
reason for being absent from a
rehearsal or event. All absences
will be assumed unexcused until
the student takes the proper steps
to have the absence excused.
___________________________________________ ____________________________________________ ____________________________________________
6th – TBA - Band Banquet
Please Post
FORT WALTON BEACH HIGH SCHOOL BAND
MEDICAL RELEASE/INFORMATION FORM School Year 20____ - 20____
Parent or Guardian’s authorization for students traveling with the Fort Walton Beach High School Band. This
authorization is good for a period of one (1) year from date of signing.
Student Name __________________________________________________ Sex _____ Age _____ Grade _____
Birthday __________________ Home Phone ____________________ Cell Phone ________________________
Address ____________________________________________________________________________________
Mother’s Name _________________________________ Business Phone _____________ Cell Phone _________
Father’s Name _________________________________ Business Phone _____________ Cell Phone _________
Health Insurance Company ________________________________________ Policy # _____________________
Family Physician ________________________________________________ Phone _______________________
Please list an emergency contact person in the event that you are unavailable.
Name _____________________________________________ Relationship to Child _______________________
Home Phone ____________________ Work Phone ____________________ Cell Phone ___________________
Date of Last Tetanus Shot _______________________________
May the Band Director or Nurse in charge give your child the following?
If left blank, medications cannot be given without parental consent.
YES
Tylenol (for headache or pain)
Motrin (for headache or pain)
Benadryl (for insect bites, allergic
Cough Drops
NO
YES
NO
Dramamine (for motion sickness)
Sinus Medication and/or Antihistamines
Antacids (Tums, Pepto-Bismol)
Minor First Aid
Please list if your child has had any of the following:
ALLERGIES to Medications __________________________________________________________________
Environmental (bees, etc) _______________________________________________________
Food (peanuts, etc) _____________________________________________________________
ASTHMA _________ INHALER NAME ________________________________________________________
DIABETES __________ TYPE ___________________________________ Rx__________________________
EPILEPSY __________ TYPE ___________________________________ Rx _________________________
HEART CONDITIONS _________________________________________ Rx _________________________
FREQUENT HEADACHES ______________________________________ Rx _________________________
FREQUENT NOSEBLEEDS _____________________________________ Rx _________________________
KIDNEY PROBLEMS __________________________________________ Rx _________________________
HEMOPHILIA ____________ RHEUMATIC DISEASES _____________ Rx _________________________
WEARS CONTACT LENSES ____________________ GLASSES _____________________
IS YOUR CHILD ON ANY OTHER MEDICATIONS? __________ If YES, please list _________________
___________________________________________________________________________________________
IS PARENT SENDING ANY MEDICATION WITH STUDENT WHEN TRAVELING? ______________
(Requires Additional County Form MIS 5183, "Administration of Medication in the School Permission Form")
Medication supplied by the parent must be in the original prescription container clearly labeled with the students
name, the medication name, dosage, and time to be given. If any medications are listed, parent or guardian must
speak with the designated employee prior to the activity.
If during the school year, the student has any contagious disease, serious illness or accident, or if any of the
above information changes, please notify the nurse traveling with the band.
PARENT’S AUTHORIZATION:
I certify that the above history is correct as far as I know. I further certify that in the event I cannot be
reached in an emergency, I hereby give permission to the Physician selected by the Nurse or Band Director to
perform such treatment as he may deem necessary to preserve the health of my child.
_____________________________________ ___________________________________________ __________
TYPED or PRINTED NAME
SIGNATURE
DATE
MIS 1419
Rev. 7/2012
Okaloosa County School District
Office of Community Affairs
Volunteer/Mentor Affidavit
Thank you for your interest in serving as a school volunteer or mentor. For the protection of our students, the Okaloosa County School
District requests a response from each school volunteer to the following items. Volunteers will be asked to complete a new Volunteer/
Mentor Affidavit each school year.
1.
2.
3.
4.
5.
6.
7.
I agree to acquire, read, and follow the guidelines included in the Okaloosa County School District Volunteer and/or
Mentor Handbook.
I, ___________________________,
Program, agree to keep strictly confidential any information to which I may have access concerning any and all
students, thereby meeting the requirements of the Family Education Rights and Privacy Act.
I understand that as a participant in the Mentor or Volunteer Program, contact with students is only to take place
while at school and/or during school-related activities. Any attempts to communicate or make contact with students
by mentors/volunteers outside of school are strictly prohibited.
Equity Policy - Prohibiting Discrimination
A. It is the policy of the School Board of Okaloosa County to offer students the opportunity to participate in appropriate
programs, services, and activities without regard to race, color, religion, sex, age, national or ethnic origin, political
belief, marital status, parenthood, pregnancy, disability, sexual orientation, or social and family background.
B. Students, while they are in school or participating in school-related activities, are entitled to an environment free of
discrimination and/or harassment by other students or adult employees or volunteers. Students should not be
subjected to nor should they subject others to:
1) slurs or innuendoes about any characteristics listed in A above;
2) any activity or talk related to A above that creates an offensive educational environment or unreasonably
or participation in educational opportunities;
3) sexual advances, requests for sexual favors, or physical conduct of a sexual nature.
C. All employees and volunteers are expected to work with other employees, to teach students, and to supervise or to
be supervised in their work by other employees without regard for race, color, religion, sex, national or ethnic origin,
age, marital status, or disability.
Drug Free Workplace
A. The school district complies with the Drug Free Workplace Act of 1988 to maintain a drug-free workplace. The
l Regulations - as amended from time to time.
B. Each employee and the public is hereby notified by this policy that the unlawful manufacture, dispensing,
possession, distribution, or use of a controlled substance or alcohol is strictly prohibited at any and all work
sites or work related functions or as a part of any school activity, or any function held on school board property.
I am aware that for the protection of students, the Okaloosa County School District requires and conducts FDLE
Sexual Offender and Predator screenings on all volunteers. National and Florida Department of Law Enforcement
background checks are conducted on all school mentors and spot background checks on school volunteers. In
addition, volunteer coaches will be fingerprinted. I hereby approve of such a check on my background.
Have you ever been convicted of, pleaded guilty to, pleaded nolo contendere (no contest) or had adjudication
withheld for a crime constituting a felony or any act involving moral turpitude?
_____ Yes _____ No
explain, or if preferable, make a conference appointment with the principal:
______________________________________________________________________________
______________________________________________________________________________
8.
References: Please list two individuals whom you have known for at least one year:
Name: _________________________________________ Phone:___________________________
Name: _________________________________________Phone: ___________________________
Page 1 of 2
9.
10.
_____________________________________________________
Grade ________
In what capacity would you like to volunteer? ________________________________________________________
My notarized signature below indicates that the information provided on statements 7 and 8 is correct and that I agree to
statements 1-6.
__________________________________________________________________________
Full Name (please print) _________________________________________________________________________
Address ____________________________________________________________________________________
City, State, Zip Code ___________________________________________________________________________
Email address
________________________________________________________________________________
Home Phone Number __________________________ Emergency Phone Number______________________________
Date of Birth __________________________________ Place of Birth __________________________________________________
Color of Eyes _____________________ Color of Hair ____________________ SS Number ____________________
State of Florida
County of Okaloosa
The foregoing instrument was acknowledged before me this ______ day of __________________________ 20 _________
by______________________________________________________________ who is personally known to me or who has produced
__________________________________________as identification and who did/did not take an oath.
__________________________________
(Notary Seal)
Notary Public
This individual is recommended for appointment as a school volunteer.
__________________________________
__________________________________
School
Page 2 of 2
Student Data Sheet
Name (first, middle, last & nickname)
Address
City, St Zip Home Phone
Cell Phone
E-mail
Grade Gender
Marching
Concert
Birthdate Adult 1 Information
Adult Name (first last)
Address
City, St Zip Home Phone
Work Phone
Cell Phone
E-mail
Relation
Occupation
Adult 2 Information
Adult Name (first last)
Address
City, St Zip Home Phone
Work Phone
Cell Phone
E-mail
Relation
Occupation
FWB High School Parent Volunteer Information Sheet
The FWB High School Band Parents are a key part of the success of the band. The funds in the annual
band budget which the students and parents must raise money for is over $50,000. We need everyone
to help by volunteering time helping with the band and fundraising. Students will raise money for their
accounts, which cover their fees and band trips. Parents will raise money for the General Band
Account, which covers the over $50,000 per year required to keep the band running. The money covers
costs for items ranging from transportation, instruments, repairs, clinicians and much more.
Student Name: _________________________________
Parent Name: __________________________________
Parent Cell Phone: ______________________________
Parent Home Phone: ______________________________
Parent Work Phone: ______________________________
Parent Email: __________________________________
Please select at least THREE areas you will volunteer with this year
___ Auction
___ Band Truck
___ 50/50
___ Concessions
___ Chaperone
___ Dial-A-Viking
___ Equipment
___ Flag Sewing
___ Football Programs
___ Hospitality
___ Notary
___ Nurse
___ Publicity (Advertising / Getting Sponsors)
___ Uniforms
___ Stadium Cleanup, Freshman / JV
___ Stadium Cleanup, Varsity
___ Ways and Means (Lead and Co-Lead Fundraising Events)
Questions: Please email the Band President: Stephen Hopkins @ [email protected]
SCHOOL DISTRICT OF OKALOOSA COUNTY
RISK MANAGEMENT DEPARTMENT
MIS 5185
REV 07/11
ON/OFF-CAMPUS SCHOOL ACTIVITY
TO:
Parent/Guardian
FROM:
School Principal
S NATURAL GUARDIAN
READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR
CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN
IF OKALOOSA COUNTY SCHOOL DISTRICT, ITS SCHOOL BOARD, ITS EMPLOYEES, AGENTS OR
ASSIGNS USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR
CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY
BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE
AVOIDED OR ELIMINATED. B
RIGHT AND YOUR RIGHT TO RECOVER FROM OKALOOSA COUNTY SCHOOL DISTRICT, ITS
SCHOOL BOARD, ITS EMPLOYEES, AGENTS OR ASSIGNS IN A LAWSUIT FOR ANY PERSONAL
INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS
FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO
REFUSE TO SIGN THIS FORM, AND OKALOOSA COUNTY SCHOOL DISTRICT, ITS EMPLOYEES,
AGENTS OR ASSIGNS HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU
DO NOT SIGN THIS FORM.
All Students participating in offffform completed and signed by a parent or guardian. This form shall accompany the sponsor(s) to the off-campus
activity(s) and should be completed as follows:
A.
Student activities in-county/off-campus: Parent or guardian shall complete the parent permission portion of the
form for each activity. The form is not required to be notarized for in-county on/off-campus activities.
B.
Student activities requiring off-campus/out-of-county travel: Parent or guardian shall complete the form in its
entirety and have the form notarized for each activity, unless the form has previously been under the multiple off-campus
activities guidelines.
C.
Student Activities requiring multiple off-campus/out-of-county travel: Parent or guardian shall complete the
form in its entirety and have the form notarized. Completion of the form may be used for all related activities (example:
band trips scheduled for the school year).
PARENT/GUARDIAN COMPLETE FOR A, B, AND/OR C.
Your son/daughter is eligible to participate in a school-sponsored activity requiring transportation to a location away from
the school building. This activity will take place under the guidance and supervision of employees from
______________________________School.
A brief description of the activity follows:
Fort Walton Beach High School
Name of Event: FWBHS Band Events 2014-2015
Destination: Multiple destinations specified by Band Calendar
Designated Supervisor of Activity Mr. Randy Folsom and Mr. Derek Fields
Date and Time of Departure School Year 2014-2015 Date and Anticipated Time of Return School Year 2014-2015
Student Cost Varies by trip. Notice provided in band Method of Transportation Buses provided by FWBHS Band
meetings and through Charms email.
If you would like your child to participate in this school activity, please complete, sign, and return the following statement of
consent by __________________ (date). As parent or legal guardian, you remain fully responsible for any legal responsibility
which may result from any personal actions taken by the named student.
PART I
PARENTAL/GUARDIAN PERMISSION, ACKNOWLEDGEMENT AND RELEASE
I, _____________________________ hereby grant permission for ___________________________ (Student) to participate in the
school activity and I know of, and acknowledge that my child/ward knows of, the risks involved in the school activity participation,
understand that serious injury, and even death, is possible in such participation and choose to accept any and all responsibility for
his/her safety and welfare while participating in the school activity. With full understanding of the risks involved, I release and hold
its School Board, its officers, employees, agents or assigns,
of any and all responsibility and liability for any injury or claim resulting from such participation and agree to take no legal action
against the Okaloosa County School District, its School Board, its officers, employees, agents or assigns, because of any accident or
mishap involving the participation of my child/ward.
If your child requires medication to be administered during this activity, please complete the following information:
List any medications needed during this activity: ______________________________________________. Parents must supply
all medications in their original prescription container. List all allergies of Student: _________________________________. If
any medications are listed, parent or guardian must speak with the designated employee prior to the activity. Both must sign
below. If this is not completely filled out, your child will not be allowed to participate in this activity.
Parent/Guardian _______________________________________ Employee ________________________________________
I hereby consent to participate by my child,____________________________, in the event described above. I understand this
event will take place away from school grounds and my child will be under the supervision of the designated school employee
on the stated dates. I further consent to the conditions stated above on participation in this event, including the method of
transportation and required information on medications.
________________________________________ ________________ __________________________________________
Please print or type name
Date
Signature
PART II - PARENT/GUARDIAN PERMISSION FOR EMERGENCY TREATMENT
On rare occasions an emergency requiring hospitalization, surgery, and /or other medical treatment develops. The designated
supervisor of this activity will attempt to contact the parent/guardian prior to emergency treatment consent. In some
state/countries, students under 21 years might not be administered an anesthetic or operated upon without the written consent of
the parent/guardian; therefore, we request the parent/guardian sign the following statement. This is to prevent a dangerous
delay if an emergency does occur and we are unable to contact the parents.
In the event of injury and/or illness to our son/daughter/ward,_______________________________________________
Student Name
born_______________________ Address_______________________________ __________________________ _____ ________
Month/Day/Year
Street
City
State Zip Code
Health Insurance Plan and Plan Number _________________________________________________________________
We hereby authorize an Okaloosa County School District principal and/or designee who is employed on the Student s District
school campus to obtain and give consent to whatsoever medical treatment the representative deems necessary, including the
administration of an anesthetic and surgery, and do hereby release the Okaloosa County School District, its School Board and
the representative or
medical treatment.
_________________________________ _____________ _________________________________________________
Please print or type name
Date
Signature
______________________ ______________________________ ____________________________________________
Telephone Number
Emergency Contact Person
Emergency Telephone Number
I HAVE READ THIS CAREFULLY AND KNOW IT CONTAINS A RELEASE (Only one parent/guardian signature is required)
________________________________________
Name of Parent/Guardian (printed)
___________________________________________
Signature of Parent/Guardian
______/______/_______
Date
________________________________________
Name of Parent/Guardian (printed)
___________________________________________
Signature of Parent/Guardian
______/______/_______
Date
STATE OF FLORIDA
COUNTY OF OKALOOSA
The foregoing instrument was acknowledged before me this __________________ by_________________________________________________
Date
Name of Person Acknowledged
who is personally known to me or has produced________________________________________________________________________________
Type of Identification
as identification and who did/did not take an oath.
_________________________________________________________ ____________________________________________________________
Signature of person Taking Acknowledgment
Name of Acknowledger Typed, Printed or Stamped
______________________________________________________________________________________________________________________
TO BE COMPLETED AT THE OPTION OF THE SCHOOL FOR SECONDARY STUDENTS
Students Name:___________________________________________________ Date ____________________________
Last/First/Middle
I request to be released from the following classes to go to __________________________________________________
TO BE COMPLETED BY THE TEACHERS
GOOD STANDING
YES
()
()
()
()
()
()
()
NO
()
()
()
()
()
()
()
PERIOD
1. __________________________________________
2. __________________________________________
3. __________________________________________
4. __________________________________________
5. __________________________________________
6. __________________________________________
7. __________________________________________
To be submitted to the sponsor in charge of this off-campus activity.
Absence
Approved
YES
()
()
()
()
()
()
()
NO
()
()
()
()
()
()
()
Fort Walton Beach High School
“Viking Band”
400 Hollywood Boulevard SW
Fort Walton Beach, Florida 32548
Telephone (850) 833-3300x2507 Fax: 850-833-3311
www.fwbhs-band.com
Randy Folsom, Director
[email protected]
Derek Fields, Assistant Director
[email protected]
BAND INSTRUMENT/SUPPLIES AGREEMENT
I, (
), agree to pay in full, the amount of $150,
to the FWBHS band program. This will act as my instrument fee which includes, but is not
limited to instrument repair, valve oil, instrument cleaner, reeds, mouthpieces, and other
miscellaneous items that the band may need to be successful. I understand that our instrument
fees do not completely balance out the cost of this equipment, but rather an attempt to offset the
cost.
Student Name (printed)
Student signature
Parent/Guardian Signature
*** If a student has adequate funds in his/her band account and would like to transfer funds to
make this payment, Please turn in your name, and your specific request to transfer funds for the
Band Instrument fee to the GREEN DROPBOX, and the band parent Treasurer will make those
adjustments***
Fort Walton Beach High School
“Viking Band”
400 Hollywood Boulevard SW
Fort Walton Beach, Florida 32548
Telephone (850) 833-3300x2507 Fax: 850-833-3311
www.fwbhs-band.com
Randy Folsom, Director
[email protected]
Derek Fields, Assistant Director
[email protected]
PERCUSSION EQUIPMENT/SUPPLIES AGREEMENT
I, (
), agree to pay in full, the amount of $150,
to the FWBHS band program. This will act as my instrument fee which includes, but is not
limited to sticks, mallets, cables, hardware, drumheads, and other miscellaneous items that the
percussion ensemble may need to be successful. I understand that our instrument fees do not
completely balance out the cost of this equipment, but rather an attempt to offset the cost.
Student Name (printed)
Student signature
Parent/Guardian Signature
*** If a student has adequate funds in his/her band account and would like to transfer funds to
make this payment, Please turn in your name, and your specific request to transfer funds for the
Band Instrument fee to the GREEN DROPBOX, and the band parent Treasurer will make those
adjustments***
Fort Walton Beach High School
“Viking Band”
400 Hollywood Boulevard SW
Fort Walton Beach, Florida 32548
Telephone (850) 833-3300x2507 Fax: 850-833-3311
www.fwbhs-band.com
Randy Folsom, Director
Derek Fields, Assistant Director
Dear Merchant,
The Cox Communications Company has generously agreed to sponsor the 38th Annual Live
Television Auction for the Fort Walton Beach Viking Band. This year the auction will be held
from 2 pm until 10 pm on Saturday, December 6, 2014. Not only will the Auction be live on
Cox channel 6, but we will also provide bidding options over the Internet. The Viking Band
would like to thank you for your past support, and once again enlist your participation in this
great event. If you have not participated in the past and would like to be part of this year’s
auction, we welcome you!
In return for an item or service totaling a minimum of $35.00, you will receive prime advertising
in which your items or a facsimile will be shown on television. Information you provide about
your business or product will be promoted by our announcer when the item or service is
presented for auction. If you have an item or items to donate, please contact me at
[email protected] or Stephen Hopkins at [email protected] or 850-6510341 and leave a message. A band parent representative will be in contact with you to pick up
your donation / item, check your advertising information, and provide you with a tax receipt.
The funds that are raised through this auction are used to maintain the quality program that has
earned us the title “The Pride of the Miracle Strip”. We are proud of the efforts that our children
put forth and show our pride by supporting the band in all its activities. The Band Parent
Association uses the funds raised to financially support the band. The uniforms they wear, the
instruments they play, and all the other equipment they must have to put on a performance, are
purchased with the funds the association raises. Our band program currently has over 185
students actively participating, and as exciting as this is, it also takes much fundraising to support
them. The Auction is our largest fundraising effort, and this year we are trying to make it the
best ever.
Your contribution to the auction not only provides you with an excellent means of advertising
your business within the community, it also enables our organization to continue to provide the
financial support to the Fort Walton Beach Viking Band.
Thank you for your help and support.
Sincerely,
Cindy Harris
FWBHS Band Auction Chairman
Stephen Hopkins
FWBHS Band Parent Association
Fort Walton Beach High School
“Viking Band”
400 Hollywood Boulevard SW
Fort Walton Beach, Florida 32548
Telephone (850) 833-3300x2507 Fax: 850-833-3311
www.fwbhs-band.com
Randy Folsom, Director
Derek Fields, Assistant Director
August 27, 2
MERCHANT RECEIPT
Merchant_____________________________________________________
Address______________________________________________________
Item Description________________________________________________
Retail Value $__________________ Date_________________________
_________________________________
Band Parent Signature
Return this half with merchandise
Merchant_____________________________________________________
Address______________________________________________________
Phone #:_____________________________________________________
Item Description_______________________________________________
Retail Value $__________________ Date________________________
________________________________
Band Parent Signature
Advertising Information: ______________________________________________
Fort Walton Beach High School
Band Parents Association
400 Hollywood Boulevard SW
Fort Walton Beach, Florida 32548
Telephone (850) 833-3300x2507 Fax: 850-833-3311
www.fwbhs-band.com
Randy Folsom, Director
Derek Fields, Assistant Director
May 28th, 2014
Dear Friends of the Vikings,
The FWBHS Viking Band offers many opportunities to support the band. We have compiled a few packages which
include various combinations to advertise with the Viking Band. These Premium packages include some items
available through other band programs and a few items only available through the premium packages. The Viking
Band has brought national recognition to the Emerald Coast. In the past few years the Viking Band has performed in
Chicago, IL, Carnegie Hall, New York, Troy University, Jacksonville, FL, Memphis, TN, Washington DC, Atlanta,
GA, Tallahassee, FL, on the USS Missouri in Pearl Harbor, Hawaii, and this past year performed at the Walt Disney
World Resort. We are so proud of our Viking Band and hope that you can show your support with your premium
sponsorship.
SILVER Premium Sponsor - $750
 ¼ Page Color or ½ Page B/W Football Program Ad labeled as a “VIKING BAND SILVER SPONSOR”
(Value = $275)
 Company Name and Link on the Viking Band Website (Value = $600)
GOLD Premium Sponsor - $1500
 ½ Page Color Football Program Ad labeled as a “VIKING BAND GOLD SPONSOR” (Value = $500)
 Larger Company Name and Link on the Viking Band Website (Value = $900)
 Premium Signage Ad on either the Viking Band Truck or Concession Stand* (Value = $400)
PLATINUM Premium Sponsor - $3000
 Full Page Color Football Program Ad Labeled as “VIKING BAND PLATINUM SPONSOR” (Value =
$600)
 Even Larger Company Name and Link on the Viking Band Website and Banner Ad on Viking Band Website
Home Page (Value = $2400)
 Premium Signage Ad on either the Viking Band Truck or Concession Stand* and Premium Signage on
Keyboard on Field at Half Time Show (Value = $800)
 Announcement at Half Time Show (Value $800)
I have enclosed a copy of the premium package contract. This year our advertisement deadline is July 18, 2014.
Checks should be made payable and mailed to: FWBHS Band at:
Stephen Hopkins
34 Old Ferry Drive
Shalimar, FL 32548
Thanks to your continued support from community sponsors like yourself, the Viking Band is debt free; every dollar
raised to support the band goes toward the purchase of instruments, equipment, uniforms and transportation costs.
Thank you in advance for your support of the Viking Band. Questions: Please call Stephen at (850) 651-0341 or email
[email protected]
Sincerely,
Stephen Hopkins
Fort Walton Beach High School
Band Parent Association
2014 Premium Sponsorship Package
ADVERTISING CONTRACT
Advertiser Information
Main contact person: __________________________________________________________________
Company Name: _____________________________________________________________________
Company Address: ___________________________________________________________________
City, State, Zip: ______________________________________________________________________
Company Phone: __________________ Fax: ________________ Home Phone: __________________
Please
Check
PLATINUM Premium Sponsor - $3000
 Full Page Color Football Program Ad Labeled as “VIKING BAND PLATINUM SPONSOR” (Value = $600)
 Even Larger Company Name and Link on the Viking Band Website and Banner Ad on Viking Band Website
Home Page (Value = $2400)
 Premium Signage Ad on either the Viking Band Truck or Concession Stand* and Premium Signage on
Keyboard on Field at Half Time Show (Value = $800)
 Announcement at Half Time Show (Value $800)
GOLD Premium Sponsor - $1500
 ½ Page Color Football Program Ad labeled as a “VIKING BAND GOLD SPONSOR” (Value = $500)
 Larger Company Name and Link on the Viking Band Website (Value = $900)
 Premium Signage Ad on either the Viking Band Truck or Concession Stand* (Value = $400)
SILVER Premium Sponsor - $750
 ¼ Page Color or ½ Page B/W Football Program Ad labeled as a “VIKING BAND SILVER SPONSOR” (Value
= $275)
 Company Name and Link on the Viking Band Website (Value = $600)
* The concession stand advertising may be replaced with a signage board on Hollywood Boulevard.
AD Materials
_____ Repeat 2014 AD with the indicated changes – please mark previous ad with changes
_____ Customer will furnish Camera Ready AD on disk – see specification sheet for acceptable formats
_____ Build a new AD, customer will supply layout idea, graphics, photos, logos, etc.
_____ Special Instructions: _________________________________________________________
Amount Due: $__________ Make checks payable to: FWBHS Band
ADS MUST BE PAID IN FULL AT TIME OF PLACEMENT
Authorized signature: ___________________________________
PLEASE REMIT ALL THREE ITEMS:
Stephen Hopkins
c/o Ft Walton Beach High School
Band
34 Old Ferry Road
Shalimar, FL 32579
Questions: Please call Stephen at (850) 651-0341 or email [email protected]
1. Completed & Signed Contract
2. Payment
3. All Necessary AD Materials
TO:
Date: ____________
Fort Walton Beach High School
Band Parents Association
400 Hollywood Boulevard SW
Fort Walton Beach, Florida 32548
Telephone (850) 833-3300x2507 Fax: 850-833-3311
www.fwbhs-band.com
Randy Folsom, Director
Derek Fields, Assistant Director
May 28th, 2014
Dear Friends of the Vikings,
It is time to place your ad in our 2014 edition of the football program. The program is published each
year by the Viking Band Parents Association and distributed at "Home" football games. The Viking
Band students represent all of Okaloosa County's coastal communities. Because of the support of
people like you, the Viking Band has brought national recognition to the Emerald Coast. In the past
few years the Viking Band has performed in Chicago, IL, Carnegie Hall, New York, Troy
University, Jacksonville, FL, Memphis, TN, Washington DC, Atlanta, GA, Tallahassee, FL, on the
USS Missouri in Pearl Harbor, Hawaii, and this year performed at the Disney World Resort as the
featured performance unit! We are so proud of our Viking Band and hope that you can show your
support with your business ad in the football program.
Thanks to your continued support from community sponsors like yourself, the Viking Band is debt
free; every dollar raised to support the band goes toward the purchase of instruments, equipment,
uniforms and transportation costs.
Thank you in advance for your support of the Viking Band.
The prices for the advertisement in the 2014 Souvenir Football Program are as follows
1/8 Page $ 90 B/W
1/4 Page $140 B/W or $275 Full Color
1/2 Page $220 B/W or $500 Full Color
Full Page Interior $360 B/W or $600 Full Color
Inside Front or Back Cover $660 Full Color
Happy Ad for your special Viking $ 20 B/W (for personal advertising only)
I have enclosed a copy of an ad contract and ad specifications sheet.
This year our advertisement deadline is July 18, 2014.
Checks should be made payable and mailed to: FWBHS Band
Stephen Hopkins
34 Old Ferry Drive
Shalimar, FL 32548
Your support of the Viking Band and Fort Walton Beach High School is greatly appreciated.
Questions: Please call Stephen at (850) 651-0341 or email [email protected]
Sincerely,
Stephen Hopkins
Fort Walton Beach High School
Band Parent Association
2014 Football Program
ADVERTISING CONTRACT
Advertiser Information
Main contact person: __________________________________________________________________
Company Name: _____________________________________________________________________
Company Address: ___________________________________________________________________
City, State, Zip: ______________________________________________________________________
Company Phone: __________________ Fax: ________________ Home Phone: __________________
AD Sizes & Colors: Please check selected size & color:
SIZE
Cover*
Back*
Inside*
FULL PAGE
HALF PAGE
QUARTER PAGE
EIGTH PAGE
HAPPY ADS
BLACK & WHITE
COLOR
------------------------$660.00 _____
------------------------$660.00 _____
------------------------$660.00 _____
$360.00 _____
$600.00 _____
$220.00 _____
$500.00 _____
$140.00 _____
$275.00 _____
$ 90.00 _____
-------------------$ 20.00 _____
*previous year advertisers have priority on cover pages
AD Materials
_____ Repeat 2013 AD with the indicated changes – please mark previous ad with changes
_____ Customer will furnish Camera Ready AD on disk – see specification sheet for acceptable formats
_____ Build a new AD, customer will supply layout idea, graphics, photos, logos, etc.
_____ Special Instructions: _________________________________________________________
_____ Happy AD: (Enter Happy Ad Text Here ->)
Check all that apply
Viking Alumni _____
Parent of a Viking _____
Grandparent of a Viking _____
Amount Due: $__________ Make checks payable to: FWBHS Band
ADS MUST BE PAID IN FULL AT TIME OF PLACEMENT
Authorized signature: ___________________________________
Date: ____________
PLEASE REMIT ALL THREE ITEMS:
TO:
Stephen Hopkins
1. Completed & Signed Contract
c/o Ft Walton Beach High School Band
34
Old Ferry Road
2. Payment
Shalimar, FL 32579
3. All Necessary AD Materials
Questions: Please call Stephen at (850) 651-0341 or email [email protected]
Fort Walton Beach High School - Band Parents Association
Ad Specifications for the Fort Walton Beach High School Football Program
400 Hollywood Boulevard SW
Fort Walton Beach, Florida 32548
Telephone (850) 833-3300x2507 Fax: 850-833-3311
www.fwbhs-band.com
May 29th, 2014
Thank you for your support of the Fort Walton Beach Band Parent’s publication of the 2013 Football Program. The
following information will help us, as well as the printer of the program with the proper size and quality of your ad:
Each ad will be contained within a 1 point size line border. Correct sizes of ads are as follows: (all measurements
are in inches)
Full Page
Half Page
Quarter Page
Eighth Page
7.25 wide by 10 tall
7.25 wide by 5 tall or 3.5 wide by 10 tall
3.5 wide by 5 tall
3.5 wide by 2.25 tall
Advertisements will be accepted in the following formats:
1. Camera Ready Artwork – This means that the ad is in black and white with sharp edges. No grayscale or
gradient fills or pictures. If you wish to submit a picture to go with your ad, please provide the photo or a high
resolution .tif or .jpg file on a disk. (A high resolution means at least 300 dpi). If you wish to provide camera
ready copy with grayscale or halftone pictures, they must be printed with an 85 line screen.
2. Ads submitted on disk – Ads can be submitted in either PC or MAC format. They should be saved in high
resolutions (at least 300 dpi) and in black and white or grayscale for black and white pages. Provide the ad in
either .tif, .jpg or .eps format. If you are submitting your ad in .eps format, make sure it is in a high resolution
.eps with any font converted to curves. If in question, provide the fonts, and picture links or files along with
your finished ad on the disk. We request that a printed copy of your ad be included so the printer can reference
it during layout and design.
3. Full Color Ads – Ads can be submitted in either PC or MAC format. Please provide us with a disk that has
your ad saved in .tif, .jpg or .eps format. Make sure that the file is saved in high resolution (at least 300 spi) and
the colors are in CMYK (not RGB). Provide any fonts, pictures, clip art, etc. on the disk. The important thing
here is that the ad is saved in high resolution and in CMYK colors. We request that a printed copy of your ad
be included so the printer can reference it during layout and design.
4. Custom Designed Ads – If you wish, we can custom design an ad for you. There will be an additional charge
for this depending on what you are looking for. If we are designing the ad for you, we require additional time
for the design work. Please submit your information in a timely manner so proofs can be reviewed and
changes made before the deadline.
We strive to produce high quality programs that you will be proud to advertise your business or personal ad in.
Thank you again for your support of the Viking Band and the Fort Walton Beach High School!
Questions: Please call Stephen at (850) 651-0341 or email [email protected]
Sincerely,
Stephen Hopkins, Band President
Address for mailing:
34 Old Ferry Drive
Shalimar, FL 32579
Fort Walton Beach High School
Band Parents Association
400 Hollywood Boulevard SW
Fort Walton Beach, Florida 32548
Telephone (850) 833-3300x2507 Fax: 850-833-3311
www.fwbhs-band.com
Randy Folsom, Director
Derek Fields, Assistant Director
May 28th, 2014
Dear Friends of the Vikings,
The FWBHS Viking Band offers many opportunities to support the band. We have a few excellent signage and website
advertising opportunities. The Viking Band has brought national recognition to the Emerald Coast. In the past few
years the Viking Band has performed in Chicago, IL, Carnegie Hall, New York, Troy University, Jacksonville, FL,
Memphis, TN, Washington DC, Atlanta, GA, Tallahassee, FL, on the USS Missouri in Pearl Harbor, Hawaii, and this
past year performed at the Walt Disney World Resort. We are so proud of our Viking Band and hope that you can
show your support with your premium sponsorship.
Signage Advertising
 Premium Signage Ad on the Viking Band Truck (Cost = $400)
 Premium Signage Ad on Concession Stand* (Cost = $400)
Website Advertising
 Company Name and Link on the Viking Band Website (Cost = $600)
 Larger Company Name and Link on the Viking Band Website (Cost = $900)
 Even Larger Company Name and Link on the Viking Band Website and Banner Ad on Viking Band Website
Home Page (Cost = $2400)
I have enclosed a copy of the signage and web advertising package contract. This year our advertisement deadline
is July 18, 2014. Checks should be made payable and mailed to: FWBHS Band at:
Stephen Hopkins
34 Old Ferry Drive
Shalimar, FL 32548
Thanks to your continued support from community sponsors like yourself, the Viking Band is debt free; every dollar
raised to support the band goes toward the purchase of instruments, equipment, uniforms and transportation costs.
Thank you in advance for your support of the Viking Band. Questions: Please call Stephen at (850) 651-0341 or email
[email protected]
Sincerely,
Stephen Hopkins
Fort Walton Beach High School
Band Parent Association
2014 Signage and Website Advertising Package
ADVERTISING CONTRACT
Advertiser Information
Main contact person: __________________________________________________________________
Company Name: _____________________________________________________________________
Company Address: ___________________________________________________________________
City, State, Zip: ______________________________________________________________________
Company Phone: __________________ Fax: ________________ Home Phone: __________________
Please Advertising
Cost
Check
Premium Signage Ad on the Viking Band Truck
$400
Premium Signage Ad on Concession Stand*
$400
Company Name and Link on the Viking Band Website
$600
Larger Company Name and Link on the Viking Band Website
$900
Even Larger Company Name and Link on the Viking Band Website and Banner Ad on
$2400
Viking Band Website Home Page
* The concession stand advertising may be replaced with a signage board on Hollywood Boulevard.
AD Materials
_____ Repeat 2014 AD with the indicated changes – please mark previous ad with changes
_____ Customer will furnish Camera Ready AD on disk – see specification sheet for acceptable formats
_____ Build a new AD, customer will supply layout idea, graphics, photos, logos, etc.
_____ Special Instructions: _________________________________________________________
Amount Due: $__________ Make checks payable to: FWBHS Band
ADS MUST BE PAID IN FULL AT TIME OF PLACEMENT
Authorized signature: ___________________________________
PLEASE REMIT ALL THREE ITEMS:
TO:
Date: ____________
Stephen Hopkins
1. Completed & Signed Contract
c/o Ft Walton Beach High School
2. Payment
Band
34 Old Ferry Road
3. All Necessary AD Materials
Shalimar, FL 32579
Questions: Please call Stephen at (850) 651-0341 or email [email protected]
Fort Walton Beach High School - Band Trip Registration
400 Hollywood Boulevard SW, Fort Walton Beach, Florida 32548
Telephone (850) 833-3300x2507 Fax: 850-833-3311 www.fwbhs-band.com
Randy Folsom, Director Derek Fields, Assistant Director
The FWBHS Band Trip the 2014-2015 Year is to San Antonio, Texas from April 8 – 12, 2015.
The trip includes:
 Performance at the Alamo Showcase of Music.
o Professional recording of all concert performance. On-stage performance review of each
concert performance.
 Three (3) Nights lodging in a DELUXE San Antonio area hotel.
 Three (3) Complete Breakfasts at the hotel and One (1) Complete Breakfast during Bus Trip and One
(1) Complete Lunch during Bus Trip.
 One (1) Six Flags Meal Voucher and One (1) Schlitterbahn Meal Voucher.
 One (1) complete dinner with $10 play at Dave & Busters.
 One (1) day admission to Six Flags Fiesta Texas.
o You may NOT use Annual or other passes in lieu of the package admission tickets.
o San Antonio theme parks are seasonal.
 One (1) day admission to Schlitterbahn.
 A visit to Historic San Antonio River Walk.
 Two (2) luggage tags for each performance participant.
 Uniformed Security to patrol student occupied floors from 11pm-5pm nightly.
 Services of a Travel Service Host with 24-hour availability. (Optional gratuity NOT included)
 Liability Insurance and all taxes and applicable fees included.
 Date: April 8th through the 12th.
 Chaperones – We are accepting chaperones on the trip. Sign-up for chaperones is September 16th at
the Parent Meeting (7pm). The board will meet and select the final for the trip.
 Guests – We are NOT accepting guests on the trip. NO Guests on this trip.
 Registration and 1st payment due July 15th at the Parent Meeting (7pm).
Please register in one of the following two categories. (ONE FORM PER REGISTRANT)
Student Payments
Student (price est. $900)
Check here if you want the
$150 1st Payment Due 7/15
monies to come out of your
nd
Chaperone (price est. $???) $150 2 Payment Due 8/19
student’s account.
There
rd
ALL UNIFORM AND BAND FEES $150 3th Payment Due 9/16
must
be
money
in
the
account
MUST BE PAID IN FULL BEFORE $150 4th Payment Due 10/21
to cover the cost or you will
ANY MONEY GOES TOWARDS $100 5th Payment Due 11/18
be considered not paid and
$100 6 Payment Due 12/16
THE TRIP.
registered for the trip.
1st Payment is nonrefundable. $100 Final Payment Due 1/20
Final Payment Subject to
Remaining payments are subject
Change Pending Number of
Estimated Total: $900
to a cancellation fee.
Attendees
Signed Up for Trip
(TOTAL MAY CHANGE!)
□
□
Print Student Name
□
Student Signature
Date
Print Parent / Guardian
Parent / Guardian Signature
Date
Questions: Please call Stephen Hopkins at (850) 651-0341 or email [email protected]
FWBHS VIKING BAND – FORMS SUMMARY DOCUMENT
2014-2015 Forms to Read
04/26/2014
Auditions for the FWBHS Band
The audition will encompass three categories 1) Scales 2) Sight-Reading 3) Prepared Exercises
Each area will generate a raw score that will be converted to a 100 point scale so that the three areas will be weighted equally.
Scales (100 points total)
raw score will be converted to a 100 point scale
12 Major Scales should be performed in as many octaves as possible from memory and completed within 2 minutes.
Scales should be performed complete with arpeggios and at a minimum tempo of MM quarter note = 120.
Scales should be performed in complete octaves.
The scale should be performed in the pattern published by the Florida Bandmasters Association.
Scales should be performed chromatically, starting with the concert key of: G, Ab, A, Bb, B, C, Db., D, Bb, E, F, Gb
Chromatic Scale in the ranges listed below. The scale will be performed in even sixteenth notes at a minimum tempo of MM quarter note = 120.
The scale will tongued ascending and slurred descending where applicable. Scale is to be memorized.
Piccolo:
Flute:
Oboe:
Bassoon:
Bb Clarinet:
Bass Clarinet:
Saxophones:
2.5 octaves from Eb to Bb
3 octaves from C
2 octaves from D
3 octaves from Bb
3 octaves from E
3 octaves from E
2 octaves from F
Trumpet:
F Horn:
Trombone:
Bass Trombone:
Euphonium:
Tuba:
Xylophone:
2 octaves from C
2 octaves from F
2 octaves from Bb
2 octaves from pedal Bb
2 octaves from Bb
2 octaves from Bb
2 octaves from Bb
Scoring: 5 points possible per octave
Rubric:
5 pts - performance is flawless in demonstration of Characteristic Tone Quality, Intonation, Technique and Interpretation
4 pts - performance is nearly flawless in demonstration of Characteristic Tone Quality, Intonation, Technique and Interpretation
3 pts - performance occasionally demonstrates Characteristic Tone Quality, Intonation, Technique and Interpretation
2 pts - performance rarely Characteristic Tone Quality, Intonation, Technique and Interpretation
1 pt - 0 pt - Performance does not demonstrate Characteristic Tone Quality, Intonation, Technique and Interpretation
Sight-Reading (100 points)
A short sight-reading exercise will be performed to demonstrate the students reading ability. The student will have 30 seconds to study the piece.
Percussionists will sight-read on snare and xylophone
The rubric listed for the prepared exercises will also be used for sight-reading
The 50 point rubric will be converted to a 100 point scale
Prepared Exercises (100 points)
if two are chosen then each exercise will be worth 50 points
if only one exercise is chosen the exercise will be worth 50 points total raw score and then converted to a 100 point scale.
The Spring/Summer Audition will be published on the web site: www.fwbhs-band.com
The Fall Audition will be the same as the exercises chosen for the Okaloosa County Honor Band Audition (published in October)
Copies of all Audition Materials will be available in the band room.
Scoring: 50 points
Rubric:
Total
0 - 10
Does not demonstrate
11 - 20
Rarely demonstrates
characteristic tone
characteristic tone
21 - 30
Occasionally
31 - 40
Usually demonstrates
demonstrates
Tone
demonstrates
characteristic tone
characteristic tone
quality
Intonation
Interpretation
General Effect
Total
quality
characteristic tone
quality
quality
Pitch is not centered and Pitch is rarely centered Pitch is occasionally Pitch is usually centered Pitch
is
consistently
in tune
and in tune
centered and in tune
and in tune
centered and in tune
Does not demonstrate
Technique
quality
41 - 50
Consistently
Rarely demonstrates
Occasionally
Usually demonstrates
consistently
accuracy of rhythms and accuracy of rhythms and demonstrates accuracy of accuracy of rhythms and demonstrates accuracy of
notes
Does not demonstrate
notes
Rarely demonstrates
accuracy in tempos,
accuracy in tempos,
phrases, and dynamics
phrases and dynamics
rhythms and notes
Occasionally
demonstrates accuracy in
tempos, phrases and
dynamics
notes
Usually demonstrates
accuracy in tempos,
phrases and dynamics
rhythms and notes
Consistently
demonstrates accuracy in
tempos, phrases and
dynamics
Overall performance is Overall performance is Overall performance is Overall performance is Overall performance is
unacceptable
below average
average
excellent
outstanding
Fort Walton Beach Viking Band
Excused Absence Criteria
1) Personal illness
2) Death of a relative
3) Observance of a religious holiday
4) Emergency circumstances which,
in the judgment of the band director,
constitute good and sufficient cause for absence from band.
Whenever possible, you must notify in writing or call the band office to give
prior notice of absence. If prior notice is not given, it is your responsibility to
bring a note from your parent or guardian stating the reason or excuse for
being absent from a rehearsal or event.
Fort Walton Beach Viking Band
Grading Policy
Students will receive a rehearsal grade (40%), performance grade (40%), and
assignment grade (20%) for each 9 weeks. Rehearsal grade will be based on
attendance to class, night rehearsals, and weekly sectionals. Under the
rehearsal grade, unexcused absence from class will result in minus 5 points,
an unexcused absence from a sectional will result in minus 10 points, and an
unexcused absence from a rehearsal will result in minus 25 points (an
equivalent to 10 points on overall grade). Under performance grade, an
unexcused absence will result from minus 50 points (an equivalent to minus
20 points on overall grade) to possible removal from the program. Assignment
grade will be given based on music pass-offs.
Fort Walton Beach Viking Band
Attendance Policy:
- Barring an emergency, band members are required to attend all rehearsals
- If you are going to miss a rehearsal, please call and leave the dates and
reasons at 833-3300 x 2507.
- You may also email this info to [email protected] or in writing
mail to
Fort Walton Beach High School Band
400 Hollywood Blvd. SW
Fort Walton Beach FL 32548