2014 Kansas State University Bands
Marching Band Confirmation Form
When we receive this Confirmation Form, you will be notified of how to get the marching band pre-game
music, which is to be memorized for the audition during Band Camp.
FILL OUT THE SURVEY ON OUR WEB PAGE OR MAIL IN YOUR FORM WITH PAYMENT.
RETURN BY June 27th to:
University Bands, 226 McCain Auditorium, Manhattan, KS 66506-4703
PLEASE PRINT OR TYPE CLEARLY!
Circle One
Male
Female
First ____________________________________
Last Name _______________________________
Birth Date ________
Parent’s Address _______________________________________________________________________
Apt # ____________
Parent’s City, ST, Zip ________________________________________________________________________________________
14/15 Campus Address (if known) _________________________________________________________
Apt # ____________
14/15 Campus City, ST, Zip ___________________________________________________________________________________
Your Telephone ____________________________________
Your E-Mail: ______________________________________
Parent’s E-Mail: _______________________________________
High School Attended: _______________________________________________________________________________________
Major Field of Study at KSU ___________________________________________________________________________________
Name of Primary Instrument/Section ______________________________
Secondary Instrument ________________________
(example: Color Guard, Classy Cats, Percussion, Trumpets)
Expected Year of KSU Graduation: _______________
Ordered Parking Permit?
YES
Classification this coming year:
FR
*Wildcat ID # _______________________(*upper left corner of card)
NO
SO
JR
SR
SR+
*VETS ONLY: KSU BAND EXPERIENCE - Circle The Number Of Years You HAVE COMPLETED
KSU Marching Band.
DO NOT INCLUDE THIS COMING YEAR or high school:
Marching Band
0
1
2
3
4
5
6
I AM INTERESTED IN THE FOLLOWING CHECKED ENSEMBLES: *AUDITIONS REQUIRED
See bulletin board outside Band Office for audition dates & times
_____ *Marching Band (Fall)
_____ *Wind Ensemble (Fall/Spring)
_____ *Concert Band (Fall/Spring)
_____ *Cat Band (Fall/Spring)
_____ *Wind Symphony (Fall/Spring)
_____ University Band (Spring)
Marching Band
What music part have you previously played?
_____I
_____II
_____III
Do you own a silver instrument?
_____ Yes
_____ No
Will you need a University owned instrument? _____ Yes
_____ No
Instrument needed:
_____________________________________________________
(Print name of instrument: piccolo, clarinet, alto saxophone, mellophone, percussion, flags)
$35.00 a semester instrument rental. Payable to KSU Bands
2014 Kansas State University Bands
Marching Band Confirmation Form
ATTENTION EVERYONE:
I will register in 201 McCain Auditorium for the 2014
MARCHING BAND CAMP on:
_____ Monday, August 18, at 9:00 am (Drum Majors,
Student Staff, Sections Leaders)
_____ Tuesday, August 19 from 9:00 am-11:00 am
(Rookies, ALL Classy Cats, Flags, Twirlers, Percussion)
_____Wednesday, August 20, from 9-11 AM (Vets)
*RESIDENT HOUSING*
Your Resident Hall Contract will include the Band
Camp housing, in your permanent room. This also
includes meals at the dining facility. You will need
to sign an “early arrival agreement” form as you
check in at the Guest Housing desk. The desk will
be open on Sunday at 2 PM. Meals will begin on
Monday.
In Resident Hall?
*RELEASE
In consideration for being allowed to participate in the
Fall 2014 MUSIC 115, 411 Marching Band in the:
Post-season Bowl performance
TBD
I hereby release Kansas State University, the State of
Kansas, and their agents, officers and employees, from all
claims, demands, and causes of action of any kind, including
claims for negligence, which may arise from participation in
the aforementioned event(s).
I fully realize the risks associated with participation in the
aforementioned event, and I fully assume those risks,
including, by way of example and not limitation, the
following: the possibility of serious physical and/or mental
trauma or injury associated with the activities involved; the
danger arising from surface hazards; terrain and weather
conditions.
I have reviewed and understand this release and fully
understand and assume the risks associated with
participation in the event(s).
________________________________________________
Date
Signature of Participant
________________________________________________
Printed Name
________________________________________________
Address
City
ST
Zip
YES
NO
*MEDICAL INFORMATION
Medical Clearance: In the event of accidental injury, I hereby
authorize appropriate treatment of emergency care by a
licensed physician.
Signature:
________________________________________________
(Parental signature required if you are under 18)
Date: ____________________________________________
PERSON TO NOTIFY IN CASE OF EMERGENCY:
Name: ___________________________________________
Work Phone: ______________________________________
Home Phone: _____________________________________
Relationship to you: ________________________________
Please list any allergies, medical conditions, or information,
which should be known by a physician in case of accidental
injury:
________________________________________________
If participant is under 18 years of age, a parent or legal
guardian’s signature is required.
________________________________________________
________________________________________________
Date
Signature of Guardian
________________________________________________
________________________________________________
Printed Name
________________________________________________