Percussion One: Percussion One: THE DRUMLINE/THE ENSEMBLE THE DRUMLINE/THE ENSEMBLE is a non-profit 501(c)(3) independent, community based drumline and percussion ensemble comprised of high school percussionists from the Greater Houston area. performance group was created to give young players from varying backgrounds and programs an opportunity to perform in a drumline and percussion ensemble that provides excellence in percussive arts education and stresses an exemplary standard of citizenship. 2016 NFL Houston Texans Performance Season: Houston’s Premier Drumline/Ensemble September 11, 2016 – December 18, 2016 Lamar Burkhalter Founder/Executive Director Includes: • Instruction with some of the most reputable percussion instructors in Houston • 4 Texans Pregame Performances • T-Shirts provided by the NFL Houston Texans • Possible playoff pregame performances Percussion One – NFL Houston Texans Performance Season Each Percussionist will be required to: • Submit Band or Percussion Director Recommendation Form by August 21st • Sign the Performance Agreement • Attend all rehearsals and performances • Provide Khaki Shorts and Required Footwear Registration & Rehearsal: Rehearsal & Registration for P1/Texans will take place at NRG Stadium on: Sunday, August 21th 1:00 pm – 4:00 pm Pre-register by email: Send Name, Age, Grade, School, and marching instrument (snare, tenors, bass, cymbals) to: [email protected] Performance Dates: • Sunday, September 11th 8:00 am Arrival • Sunday, October 16th 3:30 pm Arrival • Sunday, November 27th 8:00 am Arrival • Sunday, December 18th 8:00 am Arrival • Possible Playoff Games 100% attendance required for all rehearsals and performance! Come Play for the NFL Houston Texans!!! Registration & Rehearsal: Sunday, August 21st Registration: 1:00 pm Rehearsal: 1:00 – 4:00 pm at NRG Stadium Parking Directions at NRG Stadium for Registration & Rehearsal on st: Sunday, August 21 • Red Lot at the Corner of McNee & Kirby • Tell Security you are with Percussion One • Meet at the Guard Shack at the entrance to the loading dock across the street from the Red Lot P1/Texans will form 4 drumlines to perform at all 4 NRG Stadium Gates prior to designated NFL Houston Texans games. Drumline Instrumentation for each gate: • 8 – 10 Snares • 4 – 6 Tenors • 8 – 10 Bass Drums • 4 – 8 Cymbals Admission: Admission into the group will be based on the Recommendation Form from your Band or Percussion Director and an interview with Lamar Burkhalter. Performances: P1 Texans Group will consist of 4 complete drum lines that will perform at all 4 entry gates to NRG Stadium for the 4 pregame performances. No Membership Fee: There is no membership fee for the NFL Houston Texans Performance Season 2016. Uniform Requirements: All P1/Texans members will be provided with P1/Texans t-shirts to wear for performances. Members will be required to provide their own khaki shorts and plain white lace-up tennis shoes and white socks. Membership Forms are posted at: www.percussionone.org Completed Membership Forms including the Band Director Recommendation Form must be submitted on or before August 21st to be accepted into the program. Please contact Mr. Burkhalter via email at [email protected] with any questions or concerns. Percussion One 281-773-7381 Mr. Lamar Burkhalter, Founder and Executive Director of Percussion One, currently serves as the Music Director for the NFL Houston Texans. Mr. Burkhalter is endorsed by the Yamaha Corporation of America, the Latin Percussion Music Group, Evans Drumheads, Zildjian Cymbals, and Vic Firth. Please visit the Percussion One website for a complete bio. www.percussionone.org PERCUSSION ONE – NFL HOUSTON TEXANS SEASON 2016 MEMBER/PARENT INFORMATION Please Print Clearly Date: _______________ Group: P1/Texans East____ P1/Texans____ P1/Texans East includes students from New Caney, ISD, Humble ISD, Conroe ISD, Willis ISD, and Splendora ISD. P1 Texans includes students from all other districts. Member’s First Name: Member’s Last Name: Member’s Home Phone: Member’s Cell Phone: Member’s E-mail Address: School member attends: Age: Grade Level: Date of Birth: Street Address: City: State: Parent’s Home Phone: Zip Code: Fax Number: Father’s Name: Father’s Work Phone: Father’s Cell Phone: *E-mail Address: Mother’s Name: Mother’s Work Phone: Mother’s Cell Phone: *E-mail Address: *Other E-mail Address: Will you, the parents, help provide transportation and chaperone events? Member’s T-shirt Size (adult sizes only): *Percussion One communicates to students and parents via e-mail. Please include only the e-mail addresses in which you would like to receive Percussion One correspondence. It is important that we have at least one email address for each member and one parent email address. PERCUSSION ONE Membership & Performance Agreement Mission Statement It is the goal of PERCUSSION ONE to provide a setting for the percussive arts that stresses excellence in education and performance. This agreement applies to all activities of PERCUSSION ONE for the NFL Houston Texans Performance Season 2016-2017. Student’s Name: __________________________________________________________ Welcome to PERCUSSION ONE. We are happy to have you as a member of one of the finest percussion ensembles in the country. PERCUSSION ONE is an elite group that represents excellence in both percussion performance and citizenship. In order to continue this excellence, all members must agree to the following guidelines: Participation in all rehearsals and performances is required. If you cannot commit to 100% participation, you do not qualify to be a member of the group. Illness or a family emergency will be considered as an excused absence and a parent needs to contact Mr. Burkhalter directly at 281-773-7381 to inform him of the absence. Please also plan to arrive 15 to 20 minutes prior to rehearsal to allow time to set up instruments. In addition, it is necessary that all members have the prescribed and assigned music learned through independent practice prior to the rehearsal/performance. Percussion One stresses citizenship and respect and expects all members to be on their best behavior at all times, showing respect to the entire staff of Percussion One, fellow members and audiences as well as their rehearsal and performance facilities. The Percussion One Foundation Board of Directors and Officers makes all decisions regarding music, assignments, fees, guidelines and personnel. In addition, it is understood that PERCUSSION ONE FOUNDATION, Mr. Burkhalter, the PERCUSSION ONE staff or PERCUSSION ONE volunteers, will not assume any responsibility in case of accident, injury, or other loss associated with PERCUSSION ONE and its activities. ____________________________________________ Student’s signature _______________________________ Date ____________________________________________ Parent’s or Guardian’s signature _______________________________ Date ____________________________________________ Parent’s or Guardian’s signature _______________________________ Date PERCUSSION ONE FOUNDATION PARENTAL CONSENT, AFFIRMATION, LIABILITY RELEASE AND INDEMNITY AGREEMENT This document is to be executed by the parents or legal guardian of any person who is less than 18 years of age and who will be participating in Percussion One Foundation’s activities during the NFL Houston Texans Season 2016, and could include playoff game performances in 2017. Read carefully before affixing your signature. State of Texas, County of Harris ____________________________ (name of parents or legal guardians), the parents or legal guardians of ___________________ (name of minor), a minor, enter into this agreement for the purpose of, and in consideration for, enabling ______ (him or her) to participate in Percussion One Foundation’s activities. ____________________________ (name of parents or legal guardians) hereby agree and state as follows: 1) I HEREBY PERSONALLY ASSUME ALL RISK IN CONNECTION WITH ______________'S (name of minor) PARTICIPATION IN PERCUSSION ONE FOUNDATION’S ACTIVITIES, INCLUDING ANY RISK OF HARM, DEATH, BODILY OR OTHER INJURY, OR DAMAGE THAT MAY BEFALL HIM/HER OR HIS/HER PROPERTY AS A RESULT OF HIS/HER PARTICIPATION IN PERCUSSION ONE FOUNDATION’S ACTIVITIES, WHETHER FORESEEN OR UNFORESEEN, AND I AUTHORIZE HIM/HER TO PROCEED WITH PARTICIPATING IN SUCH ACTIVITIES IN SPITE OF THE RISKS. I AND _____________ (name of minor), TOGETHER WITH ALL OF OUR HEIRS, EXECUTORS, ADMINISTRATORS, ASSIGNS, AND FAMILY MEMBERS, HEREBY COMPLETELY RELEASE, WAIVE AND FOREVER DISCHARGE FROM ANY AND ALL LIABILITY PERCUSSION ONE FOUNDATION, AND ITS PAST, PRESENT AND FUTURE SUCCESSORS, ASSIGNS, OFFICERS, DIRECTORS, AGENTS, REPRESENTATIVES, AND EMPLOYEES, INCLUDING BUT NOT LIMITED TO LAMAR BURKHALTER, OF AND FROM ANY AND ALL LOSSES, CLAIMS, LIABILITIES, DEMANDS, COSTS, DAMAGES, OR CAUSES OF ACTION, WHETHER BASED ON A TORT OR ANY OTHER THEORY OF RECOVERY, INCLUDING NEGLIGENCE, FOR PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR OTHER DAMAGES ARISING FROM ___________________'S (name of minor) PARTICIPATION IN PERCUSSION ONE FOUNDATION’S ACTIVITIES. THIS RELEASE IS SPECIFICALLY INTENDED TO RELEASE THOSE RELEASED HEREIN EVEN FROM THE CONSEQUENCES OF THEIR OWN NEGLIGENCE. 2) I AGREE TO INDEMNIFY AND HOLD HARMLESS PERCUSSION ONE FOUNDATION AND ITS SUCCESSORS, ASSIGNS, OFFICERS, DIRECTORS, AGENTS, REPRESENTATIVES, AND EMPLOYEES, INCLUDING BUT NOT LIMITED TO LAMAR BURKHALTER, FOR ANY LOSS, LIABILITY, CLAIM, DEMAND, COST, DAMAGE OR CAUSE OF ACTION THEY MAY INCUR DUE TO _________________'S (name of minor) PARTICIPATION IN PERCUSSION ONE FOUNDATION’S ACTIVITIES WHETHER CAUSED BY HIS/HER NEGLIGENCE OR OTHERWISE. 3) I FURTHER STATE THAT I AM OF LAWFUL AGE AND LEGALLY COMPETENT TO SIGN THIS PARENTAL CONSENT, AFFIRMATION, LIABILITY RELEASE, AND INDEMNITY AGREEMENT; THAT THIS PARENTAL CONSENT, AFFIRMATION, LIABILITY RELEASE, AND INDEMNITY AGREEMENT CONTAINS THE ENTIRE AGREEMENT BETWEEN THE PARTIES; THAT I UNDERSTAND THE TERMS HEREIN ARE CONTRACTUAL AND NOT A MERE RECITAL; THAT I HAVE SIGNED THIS DOCUMENT OF MY OWN FREE WILL; AND THAT I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS DOCUMENT BY READING IT BEFORE I SIGNED IT. 4) I EXPRESSLY AGREE THAT THIS DOCUMENT IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY THE LAWS OF THE STATE OF TEXAS AND THAT IF ANY PORTION HEREOF IS HELD INVALID, IT IS AGREED THAT THE BALANCE SHALL CONTINUE IN FULL LEGAL FORCE AND EFFECT. 5) I EXPRESSLY AGREE THAT THIS DOCUMENT WILL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAWS OF THE STATE OF TEXAS. In witness whereof, I hereby execute this parental consent, affirmation, liability release and indemnity agreement at _____________, Texas, on the ____ day of _____________, 20___. ______________________________________ (Signature of Parent or Guardian) ______________________________________ (Signature of Parent or Guardian) ______________________________________ (Print full name and relationship to minor) ______________________________________ (Print full name and relationship to minor) Percussion One Emergency Contact and Medical Information M F Sex Child’s Name Date of Birth Parent’s/Guardian’s Name Parent’s/Guardian’s Name Home Phone Cell Phone Work Phone Home Phone Cell Phone Address Address City, ST ZIP Code City, ST ZIP Code Work Phone Alternative Emergency Contacts Primary Emergency Contact Home Phone Cell Phone Secondary Emergency Contact Work Phone Home Phone Cell Phone Work Phone Medical Information Hospital/Clinic Preference Physician’s Name Phone Number Insurance Company Policy/Group Number Insurance Company Phone Number Parent/Guardian Employer Allergies/Special Health Considerations I authorize all Release medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be Medical performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency. Parent’s/Guardian’s Signature Date I hereby give myConsent consent for the above student to participate in Percussion One Foundation approved activities. In addition, I give Informed my consent for the above student to travel with the Percussion One staff, parents and chaperones. It is understood that even though directors stress good safety, the possibility of accidental or other physical injury still remains. Neither Percussion One Foundation nor the Percussion One staff will be held responsible for any medical expense incurred by students as a result of their participation in Percussion One Foundation sponsored activities. If, in the judgment of any representative of Percussion One Foundation, the above student should need immediate care and treatment as a result of injury or sickness, I do hereby request, authorize and consent to such care and treatment, as may be given to said student by any physician, trainer, nurse, hospital, Percussion One representative, parent or chaperone; and I do hereby agree to indemnify and save harmless Percussion One Foundation, any Percussion One representative, parent or chaperone from any claim by any person whomsoever on account of such care and treatment of said student. Parent’s/Guardian’s Signature Date Witness Signature Date Percussion One Foundation Photograph & Video Release I, __________________________(print member name) do hereby give Percussion One Foundation, photographer, videographer, assigns, licensees, successors in interest, and legal representatives the irrevocable right to use my name, picture, portrait, photograph, or video in all forms and in all media and in all manners, without any restriction as to changes or alterations (including but not limited to composite or distorted representations or derivative works made in any medium) for advertising, trade, promotion, exhibition, or any other lawful purposes, and I waive any right to inspect or approve the photograph(s), video(s), or finished version(s) incorporating the photograph(s) or video(s), including written copy that may be created and appear in connection therewith. I hereby release and agree to hold harmless Percussion One Foundation, photographer, videographer, assigns, licensees, successors in interest, legal representatives and heirs from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of the photographs or videos, or in any processing tending toward the completion of the finished product, unless it can be shown that they and the publication thereof were maliciously caused, produced, and published solely for the purpose of subjecting me to conspicuous ridicule, scandal, reproach, scorn, and indignity. I agree that Percussion One Foundation owns the copyright in these photographs and videos, and I hereby waive any claims I may have based on any usage of the photographs, videos, or works derived there from, including but not limited to claims for either invasion of privacy or libel. I am of full age* and competent to sign this release. I agree that this release shall be binding on me, my legal representatives, heirs, and assigns. I have read this release and am fully familiar with its contents. Signed: _________________________ Witness: ________________________ Member Address: _________________________ Address: ________________________ Date: _________________, 20___ Date: _________________, 20___ ___________________________ Consent (if applicable)__________________________ I am the parent or guardian of the minor named above and have the legal authority to execute the above release. I approve the foregoing and waive any rights in the premises. Signed: _________________________ Witness: ________________________ Parent or Guardian Address: _________________________ Address: ________________________ Date: _________________, 20___ Date: _________________, 20___ * Delete this sentence if the subject is a minor. The parent or guardian must then sign the consent. PERCUSSION ONE Director/Instructor Recommendation Form This form is to be completed by your Band Director or Percussion Instructor. Dear Director/Instructor: Please fax to 281-355-7668 or scan and e-mail to [email protected] the completed form to arrive as soon as possible. Students will not be accepted into the program if this form is not received. This serves as a recommendation letter for: ________________________________________________________ (Student’s Name) Director/Instructor’s (Print Name): ___________________________Signature:__________________________ School: ________________________________Position: _______________________Phone:_______________ With “5” being the highest, and “1’ being the lowest, please circle the appropriate number as it applies to the above named student. Reliability 5 4 3 2 1 Accountability on music preparation 5 4 3 2 1 Ability to work with others 5 4 3 2 1 Receptiveness to criticism 5 4 3 2 1 Musical ability 5 4 3 2 1 Versatility on all percussion instruments 5 4 3 2 1 Parental support (if known) 5 4 3 2 1 Comments: (strengths/weaknesses, overall opinion) __________________________________________________________________________________________ __________________________________________________________________________________________
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