HANDBOOK COMPLIANCE FORM

Please complete, sign and return front/back page of the handbook for a grade by Monday, August 15th, 2011. Keep the remainder of the handbook throughout the year for reference. The back page is the medical release needed for every student that plans on traveling with the band.

I have read, understand, and agree to comply with the rules and policies set forth by the Carl Albert Middle School Band Department for the 2011-2012 school year.

Student’s Printed Name __________________________________________________

Grade ________________________

Student’s Signature ____________________________________

 Parent’s Signature ____________________________________

Student Phone	Cell:  (   )	Test:  Y or N
	Home:	Text emails:  Y or N
	Cell Provider:
Parent/Guardian 1 Name:
Relationship:
Parent/Guardian 1 Phone:	Cell: (     )	Text: Y or N
	Home:	Text emails: Y or N
	Cell Provider:
Parent/Guardian 1 Email:
Parent/Guardian 2 Name:
Relationship:
Parent/Guardian 2 Phone:	Cell: (     )	Text: Y or N
	Home:	Text emails: Y or N
	Cell Provider:
Parent/Guardian 2 Email:
Additional Information: