Pride of Newark Marching Band

March 13th, 2017

Dear Parents,

It is my pleasure to welcome you to the 2017 Pride of Newark. Please read the contents of this packet and carefully make note of all dates.

Please check the calendar in this packet and constantly updated on the band website:

www.newarkbands.org for the complete schedule of all rehearsals and events including color guard and percussion clinics. The vast majority of information that is shared pertaining to band will be shared through this website.

Required Forms: A packet of the required band camp forms is attached to this letter. The due date for all forms is Tuesday, July 18th. Forms may be turned in at the first rehearsal that morning. Please make note of the forms that require notarization and/or physician’s signature. These forms must be on file before a student will be allowed to practice at pre-camp. There are notaries frequently available at monthly meetings of the Newark Band Parents Club and there will be one available at the required parent meeting on Tuesday, July 18th at 7pm.

Physicals: A current NCSAD (Newark City Schools Athletic Department) Pre-participation Physical Evaluation is required of all marching band members. A current physical is one that is dated within the last calendar year. NHS will be offering mass physicals on May 23rd (Boys) and May 24th (Girls) beginning at 5:00pm in the Gym for $10.00 each. You may also get a physical exam at your family practitioner, but you MUST use the NCSAD physical form (attached to this packet).

First Rehearsal: Our first rehearsal for NEW MEMBERS will take place on Monday, May 22 from 3:30pm-5:00pm. At that time new members who need instruments assigned to them will receive an instrument. Our first rehearsal for the FULL BAND will take place on Wednesday, May 24 from 3:30pm-5:00pm. The first rehearsal for NEW MEMBERS this summer will take place on Tuesday, July 11 from 1:30pm-4:30pm. The first rehearsal for the FULL BAND will take place on Thursday, July 13 from 9:00am-12:00pm.

Summer Uniforms: All new marching band members will need to purchase the parts for the summer band uniform. Summer band uniform polo shirts are $15.00 and are to be purchased through the band parents club. Marching shoes will be purchased during uniform fittings at a price of $35.00, and you will need to provide the black socks and khaki shorts (not cargo shorts) for the summer uniform. We will use the uniforms for the first time at the Parent Preview performance on Friday, July 28th.

Pride of Newark Marching Band

Uniform Fittings: Once the new uniforms have arrived, we will schedule time for students to come and try on their brand new uniform. We will have an official premiere for the uniforms during the season.

Pre-Camp: Pre-Camp rehearsals will be July 13, 18, 19, 20 from 9:00am-12:00pm. These rehearsals will give students a head start on music for the season, review marching fundamentals, and help prepare students for a successful week of band camp.

Band Camp: Band Camp rehearsals are required and take place on July 24, 25, 26, 27 from 8:00am to 9:00pm. On July 28, Band Camp is from 8:00am to 1:00pm with the Parent Preview Performance at 7:00pm at White Field. Please see the detailed information about band camp included in this packet.

Band Fees: Band Fees are required to pay for various costs associated with running a competitive marching band. Your student band fee covers the cost of the music arrangements, drill design, additional instruction during camp, supplies (recurring and permanent), and all costs associated with the marching season. The fee agreement form is due Thursday, April 13 WITH $25.00 deposit.

Please do not hesitate to contact me with questions. I’m looking forward to seeing you all at our first rehearsal on May 22nd.

Musically yours,

Lee Auer, Director of Bands LAuer@laca.org 740-670-7441

Pride of Newark Marching Band Form Checklist

Student Name: Date:

The following forms are due Tuesday, July 18th, 2017:

□ Newark High School Band Emergency Medical Authorization Form. Parent signature required. Must be notarized.

□ Newark City Schools Athletic Department Pre-Participation Physical Evaluation Form. Parent and physician signature required.

□ Newark City Schools Authorization for the Administration of Asthma Inhalers. This is only necessary for students that carry inhalers. Parent and prescriber signatures required.

□ Ohio Department of Health Authorization for Student Possession and Use of an Epinephrine Autoinjector. This is only necessary for students who need an EpiPen. Parent and prescriber signatures required.

Please return these forms to Mr. Auer by Tuesday, July 18th, 2017.

PRIDE OF NEWARK MARCHING BAND BAND CAMP 2017

Dates: Monday, July 24th through Friday, July 28th

8:00am to 9:00pm

Location: Newark High School 314 Granville Street Newark, Ohio 43055

Purpose: The most important week of the marching band season is band camp. During this week we will focus on refining fundamental marching skills, learning field drill, and rehearsing/memorizing music for the upcoming marching season.

Daily Schedule: 8:00am Stretch/Fundamentals 9:00am Drill rehearsal

12:00pm Break for lunch

1:00pm Full Band indoor music rehearsal

2:00pm Sectionals 3:30pm WW/Brass/Percussion Large Sectionals

4:00pm Full Band indoor music rehearsal

4:30pm Break for dinner 5:30pm Drill rehearsal

9:00pm Dismissal

Friday’s Band Camp Schedule is identical to the one listed above, with the exception being that students will be dismissed at 1:00pm.

Students should report to White Field at 6:30pm.

~Office Use Only~ Date Received: Director Initials:_________________

Pink: Freshman Yellow: Sophomore Blue: Junior White: Senior

EMERGENCY MEDICAL AUTHORIZATION School Year / NEWARK HIGH SCHOOL BAND Ohio Revised Code 3313.712 Student Name: Address: Date of Birth: Grade: Telephone: Purpose – To enable parents and guardians to authorize the provision of emergency treatment for children who become ill or injured while under school authority, when parents or guardians cannot be reached. Residential Parent(s) or Guardian Mother’s Name: Phone: Home Work Cell Father’s Name: Phone: Home Work Cell Other’s Name (Guardian): Phone: Home Work Cell Name of Relative or Childcare Provider: Relationship: Address: Phone:

EITHER PART I OR PART II MUST BE COMPLETED

PART I – TO GRANT CONSENT I hereby give consent for the following medical care providers and hospitals to be called: Doctor: Office Phone: Dentist: Office Phone: Medical Specialist: Office Phone: Hospital: E.R. Phone: In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for (1) the administration of any treatment deemed necessary by above-named doctor, or, in the event the designated preferred practitioner is not available, by another licensed physician or dentist; and (2) the transfer of the child to any hospital reasonably accusable. This authorization does not cover major surgery unless the medical options of two other licensed physicians or dentists concurring in the necessity of such surgery are obtained prior to the performance of such surgery. See reverse side for facts concerning the child’s medical history including allergies, medications being taken, and any physical impairment to which a physician should be alerted.

PLEASE WAIT TO SIGN IN THE PRESENCE OF A NOTARY Signature of a Parent/Guardian: Address: Date: PART II - REFUSAL TO CONSENT I do NOT give my consent for emergency medical treatment of my child. In the event of illness or injury requiring emergency treatment, I wish the school authorities to take the following action: Signature of Parent/Guardian: Address: Date:

MEDICAL INFORMATION Allergies (including medications, foods, or environmental): Medications taken at least once a month (including over-the-counter and prescription) Name of Drug Dosage How Often Reason for Drug 1. 2. 3. 4. (Attach an additional sheet if more medications are taken) Date of last tetanus shot: Facts  concerning  the  child’s  medical  history  and any physical impairment to which a physician should be alerted: The following over-the-counter medications may be available to your student if needed, if he/she chooses to take them. Please check whether or not your student may take each drug. MEDICATION COMMON REASON FOR GIVING ALLOWED TO TAKE MAY NOT TAKE Acetaminophen (Tylenol) Mild pain, headache.

Ibuprofen (Motrin, Advil, Mild pain, inflammation, muscle pain, swelling. Or Aleve)

Benadryl & Itching and swelling with insect bites, congestion with Antihistamines colds.

Sudafed Congestion.

Immodium Diarrhea.

Mylanta, Maalox, Tums, Upset stomach, heartburn & Pepsid AC

Cough syrup & Coughing. Guailfesin

Dramamine Motion Sickness. Nothing on this form shall be construed to impose liability on any school official or school employee who, in good faith, attempts to comply with the provisions of this form or section 3313.712 of the Ohio Revised Code. Subscribed and sworn to before me, this [day of month] day of [month], 20 . [Notary Seal] [Signature of Notary] NOTARY PUBLIC My commission expires: , 20 . [Printed name of Notary]

NEWARK CITY SCHOOLS ATHLETIC DEPARTMENT Preparticipation Physical Evaluation

LAST FIRST MI SEX AGEBIRTH DATE

MM/DD/YYSTUDENT# GRADE SCHOOL

SPORT 1 SPORT 2 ADDRESS

PARENT/GUARDIAN PHONE (H) PHONE (W)

History section is to be carefully completed by the student and their parent(s) or legal guardian(s), prior to the physical examination, to assist in the detection of possible risk factors. Circle questions you don't know the answer to. Explain "YES" answers in the space provided.

1. Has a doctor ever denied or restricted partcipation in athletics for any reason? 2. Do you have an ongoing medical condition (like diabetes or asthma)? 3. Are you currently taking any prescription medication or non- prescription (over-the-counter) medications or pills? 4. Do you have allergies to medicines, pollens, foods or stinging insects? 5. Do you get more tired or short of breath than your peers with exercise? 6. Have you ever passed out or nearly passed out DURING exercise? 7. Have you ever passed out or nearly passed out AFTER exercise? 8. Have you ever had discomfort, pain, or pressure in your chest during exercise? 9. Does your heart race or skip beats during exercise? 10. Has a doctor ever told you that you have (check all that apply): High Blood Pressure A heart murmur High Cholesterol A heart infection 11. Has a doctor ever ordered a test for your heart? (for example, ECG,echocardiogram) 12. Has anyone in your family died for no apparent reason? 13. Does anyone in your family have a heart problem? 14. Has any family member or relative died of heart problems or of sudden death before age 50? 15. Does anyone in your family have Marfan syndrome? 16. Have you ever spent the night in a hospital? 17. Have you ever had surgery? 18. Have you ever had an injury, like a sprain, muscle or ligament tear, or tendinitis, that caused you to miss a practice or game? If yes, check affected area below. 19. Have you had any broken or fractured bones or dislocated joints? If yes, check affected area below. 20. Have you had a bone or joint injury that required x-rays, MRI, CT, surgery, injections, rehabilitation, physical therapy, a brace, a cast, or crutches? If yes, check affected area below. Head Neck Shoulder Arm Elbow Forearm Hand/Fingers Chest Back Hip Thigh Knee Calf/shin Ankle Foot/toes 21. Have you ever had a stress fracture? 22. Have you been told that you have or have you had an x-ray for neck instability or atlantoaxial instability? 23. Do you regularly use a brace or assistive device? 24. Has a doctor ever told you that you have asthma or allergies? 25. Do you cough, wheeze, or have difficulty breathing during or after exercise?

Yes No

C C26. Is there anyone in your family who has asthma? 27. Have you ever used an inhaler or taken asthma medicine? 28. Were you born without or are you missing a kidney, an eye, a testicle, or any other organ? 29. Have you had infectious mononucleoses (mono) within the last month? 30. Do you have any rashes, pressure sores, or other skin problems? 31. Have you had a herpes (cold sores) or a MRSA skin infection? 32. Have you ever had a head injury or concussion? 33. Have you been hit in the head and been confused or lost memory? 34. Have you ever had a seizure? 35. Do you have headaches with exercise? 36. Have you ever had numbness, tingling, or weakness in your arms or legs after being hit or falling? 37. Have you ever been unable to move your arms or legs after being hit or falling? 38. When exercising in the heat, do you have severe muscle cramps or become ill? 39. Has a doctor told you that you or someone in your family has sickle cell trait or sickle cell anemia? 40. Have you had any problems with your ears or vision? 41. Do you wear glasses or contact lenses? 42. Do you wear protective eyewear ( ie: goggles or a face shield)? 43. Eo you worry about your weight? 44. Are you trying to gain or lose weight? 45. Are you on a special diet or do you avoid certain types of foods have any known food allergies? 46. Have you ever had an eating disorder? 47. Do you have any concerns that you would like to discuss with a doctor? FEMALES ONLY: 48. Have you ever had a menstrual period? 49. How old were you when you had your first menstrual period? 50. How many periods have you had in the last 12 months? Explain "Yes" answers below (attach additional sheets as needed) :

Yes NoC C

C C

C CC CC C

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I (we) hereby state, to the best of my (our) knowledge, my (our) answers to the above questions are complete and correct.

Signature: _________________________________________ Date:_______________________ (Parent/Guardian)

Modified from the OHSAA preparticipation physical exam form. Rev 4/12/12

C C C C C CC C C C CC C C C

HISTORY

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C CC C

C CC CC C

Note: The emergency information/protected health information form that must be signed by both the parent and the student is on a seperate sheet. History and emergency information/protected health information form must be completed prior to physical examination.

C C

C CC CC C

C C

C C

C C

C C

C C

C CC CC C

C C

C C

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C CC CC CC C

C C

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Print Form

NEWARK CITY SCHOOLS ATHLETIC DEPARTMENT Preparticipation Physical Evaluation

STUDENTS NAME

PHYSICAL EXAMINATION

The sections below are to be completed by the physician or staff after history has been completed.

Follow-up questions on more sensitive issues (optional):

1. Do you feel stressed out or under a lot of pressure?

2. Do you ever feel so sad or hopeless that you stop doing some of your usual activities for more than a few days?

3. Do you feel safe?

4. Have you ever taken any supplements to help you gain or lose weight or improve your performance?

Notes: ______________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

HEIGHT______ WEIGHT______ % BODY FAT(optional)______ PULSE_____ BP_____/_____ _____/_____ _____/_____ VISION R 20/________ L 20/________ CORRECTED: Y N PUPILS: EQUAL________ UNEQUAL_______

CLEARANCE

Cleared without restrictions

Cleared, with recommendations for further evaluation or treatment for: __________________________________________

___________________________________________________________________________________________________

Not cleared for: All sports Certain sports: _____________________Reason: ______________________________

Recommendations: __________________________________________________________________________________

___________________________________________________________________________________________________

Name of Practitioner (print): _____________________________________________ MD, DO, DC, ANP, PA

Address: _____________________________________________ Phone: ______________________

Signature of Practitioner: _____________________________________________ Date of Exam: _______________

MEDICAL NORMAL ABNORMAL FINDINGS INITIALSAppearance

Eyes/Ears/Nose/Throat

HearingLymph NodesHeartMurmursPulsesLungsAbdomenMUSCULOSKELETAL *********** ********************************************************************************************* ****************NeckBackShoulder/ArmElbow/ForearmWrist/Hand/FingersHip/ThighKneeLeg/Ankle

Foot/Toes

Student Name

NEWARK CITY SCHOOL DISTRICT

Autho rization for the Administration of Asthma Inhalers

Date of Birth

Student Address

School Grade Teacher

PARENT/GUARDIAN S ECTIONPlease review the following steps required for permission of school personnel to administer inhaler to your child andsign this section:

l. Both the parent and the licensed prescriber must complete this form.2. Inhaler must be provided in the student's labeled prescription. The prescription label must match the

instructions *om the.prescriber.3. New forms must be submitted-each school year'anti ior each new medication New formrmu* be

submined when any changes in the original form occur (for example, changes in the dose, time, etc.)

I request that medication be administered to my son/daughter according to the directions of the Iicensed prescriber inthe following section. I also authorize thc exchange of information between the health care provider and the schoolregarding this medication order when deemed necessary by school personnel.

S ignature of parenUguardian

LICENSED PRESCRIBER SECTIONMedication Name:

Date

Dosage:

Date the administration is to'begin:

The inhaler/medication is to be: (Must select one)Carried by the studentKept in the school

Adverse reactions that should be reported to the physician:

Adverse reactions for unauthorized user:

Procedure to follow in the event that medication does not produce the expected re lief from student's asthma attack:

Physician name: Phone:

Physician signature: Date:

Copies must be provided to the principal and to the school nurse if one is assigned to the student's building. Rcvise<r 7/06

Ohio Department of Health

Authorization for Student Possession and Useof an Epinephrine Autoinjector

ln accordance with ORC 3313.718/3313,141

A completed form must be provided to the school principal andlor nurse before the student may possessand use an epinephrine autoinjector to treat anaphylaxis in school.Student nante

Student addrcss

This section must be completed and signed by the student's parent or guardian.As the Parent/Guardian of this student, I authorize my child to possess and use an epinephrine autoinjector, as prescribed,at the school and any activity, event, or program sponsored by or in which the student's school is a participant. I understandthat a school employee will immediately request assistance from an emergency medical service provider if this medicationis administered. I will provide a backup dose of the medication to the school principal or nurse as required by law.

Circumstances for use of the epinephrine autoinjector

Procedures for school employees if the student is unable to administer the medication or if it does not produce the expected relief

Possible severe adverse reactions:Io the student for which it is prescribed (that should be reported to the prescriber)

To a student for which it is not prescribed who receives a dose

Special instructions

As the prescriber, I have determined that this student is capable of possessing and using this autoinjector appropriatelyand have provided the studentwith training in the proper use of the autoinjector.

Developed in collaboration with the Ohio Association of School Nurses.HEA 4222 3lA7

Parent /Guardian signature Date

Parent/Guardian name Parent/Guardian enrergency telephone number

( )

This section must be completed and signed by the medication prescriber.Name and dosage of medication

Date medication administration begins

Prescriber signature Date

Prescriber name Prescriber emergency telephone number

GENERAL RULES FOR BAND CAMP

1. All members will abide by the Newark High School Code of Conduct and subsequent consequences at all times.

2. All marching band students must attend band camp in its entirety in order to be assigned a regular marching position. Students who do not attend camp will be assigned an alternate position. If a spot opens during the season, alternates will be permitted to perform once they have sufficiently learned the music and drill.

3. Use or possession of any controlled substance (cigarettes, alcohol, nonprescription drugs, etc.) is strictly prohibited and will result in IMMEDIATE REMOVAL FROM BAND. Parents will be called and asked to pick up their child. School administration will be notified and serious school disciplinary action may be taken.

4. Use of profanity will not be permitted at any time. Consequences will be at the discretion of the director and may result in school disciplinary action.

5. Students are expected to use polite, respectful behavior at all times. Insubordination will not be tolerated. Students are to show respect and common courtesy to directors, adult supervisors, and peers at all times. Consequences will be at the discretion of the director and may result in school disciplinary action.

6. Ohio Revised Code prohibits harassment, personal degradation, hazing or initiation of any kind. Consequences will be at the discretion of the director and may result in school disciplinary action.

7. All students are expected to wear athletic shoes and socks for all marching rehearsals. Sandals, flip-flops, etc. are not permitted. All undergarments must be completely covered at all times. Bathing suit tops and sports bras may not be worn without a t-shirt. No bare midriffs. Gentlemen must wear a shirt in rehearsal at all times. In hot weather, light-colored clothing will be required. Jeans are not appropriate rehearsal attire. Dark-colored clothing is extremely discouraged.

8. No bare feet! Shoes must be worn at all times during camp – whether we are inside or outside.

9. Students are responsible for cleaning up after themselves and leaving all areas cleaner than they were found.

10. Band camp is a closed activity. Visitors are at the discretion of the director.

11. All members are expected to participate in all band camp activities.

12. Cell phones may only be used at free time and never during any organized band activity. Consequences will result in confiscation of the phone for the remainder of the day.

BAND CAMP CHECKLIST

Mandatory items for band camp:

• Your instrument (with all necessary supplies!)

• Drill Book (Heavy Duty 3 ring binder with 40-50 clear protective page

covers for drill & music)

• Insulated water cooler - Water bottles do not provide enough water or

stay cold!

• Pencils & Highlighter

• Light colored t-shirt

• Shorts (comfortable and appropriate length - NO JEANS)

• Socks and Athletic Shoes (no sandals or flip flops, or any other shoe

that keeps you from marching!)

• Sunglasses

• Hat

• Sunscreen

• Bug spray

• Chapstick

Suggested items for band camp:

• Change of shoes (after marching in wet grass you will want to have

dry shoes for the afternoon and evening sessions)

• Rain gear (light and waterproof - rain won’t stop us from marching)

• Deodorant

• Other personal hygiene products