Skip to content
Facebook
Instagram
YouTube
Search for:
HOME
BOARD
REGISTRATION LINKS
FUNDRAISERS
SUPPORTERS
DONATE
PAY FEES
Search for:
Winter Guard Registration
Arapahoe Band Boosters
2023-11-12T13:26:31-07:00
Step
1
of
6
- STUDENT INFORMATION
16%
Welcome to the 2023 Winter Guard Season!
Please fill out
ONE
registration per student.
The information below will not be shared outside of our program.
Student Name
*
First
Last
Address
*
Street Address
City
State
Zip
Student Grade
*
8
9
10
11
12
Student Email (use your LPS email (@lpsk12.org)
*
Student Cell Phone
*
Student Home Phone
*
PARENT / GUARDIAN INFORMATION - PRIMARY CONTACT
Relationship to Student
*
Primary Contact
Mother
Father
Guardian
Name
*
First
Last
Address (if different from student)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip
Parent/Guardian Email
*
Parent/Guardian Cell Phone
*
Parent/Guardian Home Phone
*
PARENT / GUARDIAN INFORMATION - SECONDARY CONTACT
Relationship to Student
Primary Contact
Mother
Father
Guardian
Name
First
Last
Address (if different from student)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip
Parent/Guardian Email
Parent/Guardian Cell Phone
Parent/Guardian Home Phone
Permissions
Authorization to share parent emails with Arapahoe Band Boosters
*
Parent/Guardian email(s) provided in this form will be shared with the Arapahoe Boosters for sending student fee invoices, sharing schedules and updates, and volunteer opportunities.
I Agree
I Do Not Agree
Authorization to share parent cell phone number with Arapahoe Band Boosters
*
Parent/Guardian cell phone number(s) provided in this form will be shared with the Arapahoe Boosters for sending text messages from Arapahoe Band Boosters and staff regarding timely notifications of band activities or report times.
I Agree
I Do Not Agree
Electronic Communication Permission
*
Student has my permission to receive emails and text messages from Arapahoe Band Boosters and Arapahoe staff regarding winter guard activities.
I Agree
I Do Not Agree
Travel Permission
*
Student has my permission to travel to all Winter Guard related competitions and activities.
I Agree
I Do Not Agree
Medical Information Permission
*
Certain medical information (such as allergies, asthma, etc.) as well as emergency contact phone numbers will be shared with staff and chaperones.
I Agree
I Do Not Agree
Media Release Permission
*
Arapahoe Band Boosters request your permission to photograph or video your child for use on program related websites, communications and social media.
I Agree
I Do Not Agree
Parent Permission for Student Passengers in Private or Commercial Vehicles
Student has my permission to ride in a private or commercial vehicle to an activity during the period November 1, 2023 through May 31, 2024. This is a school-related activity and will be supervised by his/her teacher. I understand that it is my responsibility to verify that the owner of the vehicle in which my son/daughter will be traveling has adequate liability insurance coverage. I understand that the district does not provide insurance coverage for personal or commercial vehicles used for school activities. Each participant is responsible to be at the site of the activity at the announced time. I further hereby release and forever discharge Littleton Public Schools, its representatives, employees, officers, and directors from any and all liability arising out of or relating to the private or commercial vehicle while transporting my child to any school-sponsored activity.
Parent Permission for Student Passengers in Private or Commercial Vehicles
*
Yes, my student named above has my permission to ride in a private or commercial vehicle for the purpose of attending the events as indicated above.
No, I do not wish to grant permission for my student named above to ride in a private or commercial vehicle for the purpose of attending the events as indicated above. I WILL PROVIDE TRANSPORTATION FOR MY STUDENT.
I UNDERSTAND THAT BY SELECTING NO, I AM RESPONSIBLE TO PROVIDE TRANSPORTATION TO/FROM ALL GUARD ACTIVITIES.
*
I agree
Parent/Guardian Signature
*
Medical Release
Parent/Guardian 1
*
First
Last
Relationship to student
*
Home Phone
*
Cell Phone
*
Parent/Guardian 2
First
Last
Relationship to student
Home Phone
Cell Phone
Alternate Contact
*
First
Last
Relationship to student
*
Phone
*
Insurance Company
*
Policy Holder
*
Policy Number
*
MEDICATIONS
DOSAGE
ALLERGIES/ALLERGIC REACTIONS TO MEDICATION
FOOD ALLERGIES
MEAL PREFERENCE
Such as vegetarian, gluten free, etc.
MAJOR SURGERY IN PAST YEAR
ACUTE OR CHRONIC MEDICAL CONDITIONS
PHYSICAL CONDITIONS THAT LIMIT ACTIVITIES
CONSENT FORM / RESPONSIBILITY CLAUSE / MEDICAL PERMIT
I hereby agree that the above named student will participate in the Arapahoe High School Band Program. In case of emergency, I hereby give my consent for a qualified physician to perform any medical or surgical procedures s/he deems necessary to the welfare of this student while participating in the Arapahoe High School Band Program. It is understood that the Arapahoe High School and medical personnel will make every attempt to contact relatives listed above before taking any such actions. Further, this authorization permits said physician to hospitalize, secure appropriate consultation, order injections, anesthesia (local, general or both) or surgery for this applicant if such emergency conditions warrant. I, the undersigned, do hereby assume and agree to pay any indebtedness or physician’s or surgeon’s fees and hospital charges for such services.
Parent/Guardian Initials
*
Parent/Guardian Signature
*
Arapahoe High School
Parent Permission for Student
Passengers in Private Vehicles
Student name
(student) has my permission to ride in a private vehicle to an activity during the current school year. This is a school-related activity and will be supervised by his/her teacher. I understand that it is my responsibility to verify that the owner of the vehicle in which my son/daughter will be traveling has adequate liability insurance coverage. (Minimum standards for liability coverage are $100,000/$300,000 for bodily injury, $50,000 property damage).
Each participant is responsible to be at the site of the activity at the announced time.
I further hereby release and forever discharge Littleton Public Schools, its representatives, employees, officers, and directors from any and all liability arising out of or relating to the private vehicle while transporting my child to the school-sponsored activity.
Please indicate your permission for your son/daughter to drive his/her private vehicle by filling out the required insurance carrier information and by signing and returning this form.
I give my permission for my son/daughter to drive his/her/my own vehicle to school-sponsored events during the school year. I understand that all liability for any accidents will be borne entirely by my student and/or myself.
Please indicate below if your son/daughter may or may not be transported in a private vehicle. Check all that apply.
*
Option 1: Student may ride in a personal vehicle driven by a staff member (teacher, office staff)
Option 2: Student may ride in a personal vehicle driven by another student/parent.
Option 3:Student may not ride in a personal vehicle.
Parent/Guardian Signature Option #1
*
Parent/Guardian Signature Option #2
*
Parent/Guardian Signature Option #3
*
Date
*
MM slash DD slash YYYY
Winter Guard Fees
Student Name
*
First
Last
Parent email for invoices
*
Alternate parent email for invoices (optional)
Winter Guard Fees ($400)
Scholarships are available for Arapahoe HS students--contact treasurer@arapahoeband.com
I will pay the full amount today
I will pay half today (please invoice the balance)
I will pay 1/3 today (please invoice the balance)
Please contact me about a payment plan
I have read and understand the costs associated with this program.
*
In order to fully fund this program fees must be received by February 15th, 2024.
I Agree
Parent/Guardian Signature
*
Total
$0.00
Credit Card
Card Details
Cardholder Name
Close product quick view
×
Title
Page load link
Go to Top