Warrior Summer Band Registration 2025

Summer band season begins Sunday, May 4, 2025, with the 6 pm mandatory parent & teen meeting.

Registration deadline is March 1, 2025

PASSPORT NEEDED!

Local and June 30-July 14 Eastern Trip Cost: $2,100 | June Local-Only Cost: $300

Chaperone Trip Cost: $1,000

Highlights for the trip: Niagara Falls, Boston, New York City (Wicked on Broadway, Yankees game at Yankee Stadium, sight-seeing in NYC), Rhode Island, White Mountains, Whale Watching in Bar Harbor, Maine, and so much more.

One of the required items on the registration is confirmation that both parent and teen have read and agree to the rules and instructions. See the Band 2024-25 Handbook to read what you will be committing to.

Student Information

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Student Cell Number

Number Required

Student Email Address*

Answer required for "Student Email Address"

Gender*

Answer required for "Gender"

Female

Male

Date of Birth*

Answer required for "Date of Birth"

Grade in 24/25*

Just the number ... e.g., 8, 9, 10, 11, 12

Answer required for "Grade in 24/25"

Both teen and parent have read the current band handbook and are willing to abide by the rules and procedures within.*

(Link to handbook is at the top of this form. Opens in a new window so you can read before attesting.)

Answer required for "Both teen and parent have read the current band handbook and are willing to abide by the rules and procedures within."

Yes

Parent/Guardian Signature (attesting to handbook agreement)*

Signature Required

Please check any applicable conditions*

Answer required for "Please check any applicable conditions"

Contacts or Glasses

Asthma

Diabetes

Seizures

Heat-related Illness

Past Concussion

on daily/regular medication

allergies

Other:

Provide details about any checked items that would help the nurse on parade/trip duty

e.g. type/severity of allergies, names/dosage of prescription med, date of concussion, etc.

Answer required for "Provide details about any checked items that would help the nurse on parade/trip duty"

Health Insurance Provider Name*

Answer required for "Health Insurance Provider Name"

Insurance Provider Address

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Health Group Number*

Answer required for "Health Group Number"

Health Insurance Member Number*

Answer required for "Health Insurance Member Number"

Health Policy Holder Name*

Answer required for "Health Policy Holder Name"

Physician First/Last Name*

Answer required for "Physician First/Last Name"

Physcian Address*

Answer required for "Physcian Address"

Physician Phone*

Number Required

Dentist/Orthodontist Name*

Answer required for "Dentist/Orthodontist Name"

Dentist/Orthodontist Address*

Answer required for "Dentist/Orthodontist Address"

Dentist/Orthodontist Phone*

Number Required

Instrument/Position in Band*

Answer required for "Instrument/Position in Band"

T-shirt Size*

Answer required for "T-shirt Size"

Small

Medium

Large

X-Large

Parent Information

Parent/Guardian First & Last Name(s)*

Answer required for "Parent/Guardian First & Last Name(s)"

Email address to receive band news*

Answer required for "Email address to receive band news"

Parent Phone # to receive band messages*

Number Required

Emergency Contact Information (if parent contact info above is unanswered)

First & Last Name*

Answer required for "First & Last Name"

Relationship to teen*

Answer required for "Relationship to teen"

Mobile Phone*

Number Required

2nd Phone

Number Required

Intention for Warrior Band participation summer 2025*

$300 fee incl. band camp, local parade busing, uniform. Trip balance due on/before June 4.

Answer required for "Intention for Warrior Band participation summer 2025"

Local Parades only ($300 due now)

Local Parades and Out East trip ($2,100 total, $300 due now)

Local Parades, undecided on trip ($300 due now)

Summer Band Registration*

Price: $300.00

Please fix the highlighted areas below before submitting.

Warrior Summer Band Registration 2025