
HIGH SCHOOL BAND

STRIVING
FOR EXCELLENCE
2007 – 2008
BAND
HANDBOOK

Superintendent
Carrolyn
Hamilton

Principal
Susan
Whiten
Staff
Director
Casey Caviness
Assistant Director
James Brown
Band Advisor
Rita Caviness
Guard Instructors
Sharon Coudray
Katy Vanderpol
Percussion Instructor
Candice Davenport
Jon Cleveland
Chris Necaise
George Paine
To create an environment
through music and the arts that will foster,
challenge,
motivate, develop and demand the students to become responsible and
mature young
adults in all facets of their life.
The LBHS Band
program is dedicated to “Striving for Excellence”
in all musical and education forms. We believe band combines
the best of music,
art, athleticism, dedication, and maturity
while still having
fun.
Our goals are
simple:
·
To Educate
·
To Entertain
·
To Gain Experience
·
To Compete
Director of Bands
The Long Beach High School Band has a
long-standing tradition of excellence with potential for greatness that is unmatched
anywhere. In order to help us reach our
goals as an organization we have developed what we believe to be a plan of
action that will carry us to the next level of achievement. In an organization this large and unique it
is necessary to have an outline of operation apart from; but working in
conjunction with, that of the school district.
Membership in the Long Beach High School
Band will be determined by the following factors:
·
A Good Positive Attitude.
If this prerequisite is not met then the others are irrelevant.
·
Playing ability.
Each student will be assessed during the year, with a comprehensive
evaluation at the end of each year to measure ability level. The guidelines can be found on the Department
of Education website.
·
Maintenance of a positive academic and disciplinary record. This is not subject to negotiation. If a student cannot maintain satisfactory
grades and discipline in school they do not need the extra-added pressure and
time constraints of being in band.
As part of an effort to improve the assessment procedures and the instruction of our students the Long Beach High School Band Program will use the following evaluation system. This evaluation will include two main elements on which a student’s grade will be determined. They are as follows:
1.
Performance Skill-60%-students will perform regularly for
the director. Students can expect to be
pulled from class to play prepared and unprepared excerpts. Exercises, method books, band music, and
sight-reading will be used to evaluate a student’s progress. Evaluation will be based on tone quality,
intonation, technique, phrasing, articulation, and music reading skills. Along with these, participation in, and
effort shown during class, musical equipment preparedness, and a positive
attitude toward the learning environment will be taken into consideration.
2.
Performance/rehearsals-40%-students will be required to
attend all performances, concerts, and competitions relating to the band class
and/or marching band. Students will be
required to attend all rehearsals relating to all areas of the band
program. Two weeks notice must be given
in writing and approved by directors in order to be excused from a performance
or rehearsal. Exceptions: illness, etc.
Please refer to rehearsal policy for what is and is not an excused
absence.
All students will be inside the band room before the tardy bell sounds. At five minutes after the bell, each student is expected to be in their seat, with instrument, stand, music, and necessary materials. There will be silence in the rehearsal hall when the conductor (whomever that may be) steps on the podium.
Warm-up is a crucial time in each rehearsal. This is when we focus on the fundamentals of
our instruments so that we may improve both as a group and as individuals.
Brass players should have all necessary
mutes and valve oil ready. Reed players
should have at least one spare reed at their seats during rehearsal; you should
have four or five good reeds that you rotate from day to day. Your reeds will last longer and you will get
better play from them if you do not use the same reed all the time.
Percussionists should each have a pair
of concert snare drum sticks, mallets, and timpani sticks during concert band
class. During marching band or drum
class, make sure that you have all of the required equipment needed to perform
on your assigned instrument.
Cases and book bags should be placed in
set in lockers or around the edge of the band. Not in the rehearsal area.
Problems of an individual nature
(missing music, instrument problems, etc.) should not take class time. These issues should be dealt with either
before school, after school, or just before class as last resort.
Talking during rehearsals should be kept
to a minimum. Any necessary talking
should be about the music that we are studying and should never be a
distraction to the conductor or other students.
When the conductor is on the podium there is no talking. When the
conductor steps off the podium you may talk quietly if at all necessary.
To be a member of the Long Beach Marching Band, the student must be enrolled in the proper Marching Band period during the fall semester. He/she must comply with all Rules and regulations contained in this handbook and must first meet standards for membership in band as outlined above.
Rehearsal Policy/Alternate Status
In order to maintain and to build on our strong
tradition of excellence here at Long Beach High School we must have a strict
rehearsal policy that is followed by every student. If the student is unable to meet this
schedule then he/she must find an alternative to being in the band
program. We rely on each other and we
are only as strong as our weakest link. If the student misses the
Thursday after school rehearsal for anything other than the excused absences,
they will not be allowed to march on Friday or the contest on Saturday.
Excused absences include:
a)
Death in the
family
b)
Serious illness
c)
Emergency
d)
Special
permission of director
e)
Court ordered
visitation
f)
Court Dates
Unexcused absences include:
a)
Doctors
appointments
b)
Dentists
appointments
c)
Work
d)
Birthdays
e)
Trips that are
not given two weeks notice
f)
No ride (your section leader will be happy to help in this
area)
Alternate Status-This applies to Marching Band only. These students must meet all requirements for
the Marching Band. The students will
rehearse and occasionally perform with the group possibly earning a permanent
spot at any time when deemed so by the director. Alternates will also perform in the
stands. Alternates are considered and
will be treated as full-fledged members of the Marching Band. This means that alternates are expected to
attend all rehearsals as per the rehearsal policy. Alternates may be rotated in and out on a per
performance basis in order to provide the opportunity for more students to
perform. Alternates will travel on all
trips with the band.
1.
After the first rehearsal is missed the student will be
made aware of the attendance policy and warned that future absences could
result in removal from the show. The student’s parent will also be contacted
and notified of the absence.
2.
After the second rehearsal is missed an alternate will
replace the student and that student will be placed on equipment duty for one
(1) show.
3.
After the third absence an alternate will be assigned the
spot on a permanent basis and the student will be assigned alternate status.
4.
After the fourth absence the student will be assigned to
permanent alternate status and will not be allowed to challenge for a spot for
the remainder of the marching band season.
Rehearsals during school are as important as rehearsals after
school, therefore students who are chronically absent from school will be
assigned alternate status until they can alleviate the absence problem. The students rely on each other during the
marching season for drill placement, musical considerations, and the like. Whenever a person is constantly missing it
makes it impossible for the other students to achieve a high level of
success. In the event that the student
is physically unable to participate in the marching band, this means sitting on
the sidelines instead of rehearsing. The
student should consider changing their schedule. After a second rehearsal in which a
student sits on the sideline an alternate will be assigned. If you are not feeling well let an
instructor know immediately.
Stands Procedures
1.
No food or drinks in the stands before halftime.
2.
No hats in the stands or with your uniform.
3.
There is to be no random playing of instruments at any time.
Any section or solo cheers should be cleared with the directors prior to the
game.
4.
At home games, sit in your assigned section the entire game.
5.
No outsiders are allowed in the band section. This includes alumni unless directors have
given prior approval.
6.
Your concession break will be during the third quarter. You must be back in the stands by 1:00 minute
on the clock. This gives us time to play
at the end of the third quarter. Don’t
be late! Watch the clock carefully! You will lose your break the
next week if you are late.
7.
No PDA (public display of affection) other than a hug or holding
hands in uniform (this includes the travel uniform.)
8.
No foul language or talking in a disrespective manner to anyone.
9.
No horseplay in uniform.
Concert Band /Indoor Percussion
To be a member of one of Long Beach’s Concert Organizations the student must be enrolled in the proper band period and must be in the compliance with all the rules and regulations contained in this handbook.
Rehearsal
Policy
After the first rehearsal is missed the director will assign the student an etude (musical study), and it will be substituted for the grade and the student’s parent will be contacted. Indoor parents will be contacted.
After the second rehearsal is missed, the student
will be moved to last chair and assigned additional studies to prepare for a
classroom recital. A parent conference
will be arranged. Indoor members will be
removed for one show and a parent conference will be necessary.
After the third rehearsal is missed the student will
be assigned to equipment duty and will not be allowed to participate in any
concert or contest in a musical capacity.
Written assignments will be given in order to assess the student’s
progress.
Long Beach Indoor Percussion Ensemble
Long Beach offers our percussion students an opportunity in the Spring unequalled in our state. The Long Beach Indoor Percussion Ensemble is among the finest units of this type in the country. The group travels across the Country to compete among the Winterguard International Percussion Circuit. The students are instructed in the basic fundamentals of percussion performance, marching and maneuvering, and of course in the “art of performance”.
Rules:
1.
The student will respect him/herself and others at all times.
2.
The student will be on time with all materials daily.
3.
The student will not interrupt or distract from the teaching/learning
process in any manner.
4.
The student will not bring any contraband of any kind into the band
hall or into any band rehearsal. This
includes telephones, CD players, MP3 players, etc.
5.
The student will observe all rules and regulations set forth by the
Long Beach School District. These are
included in the Student Handbook provided by the school.
Consequences:
1.
First Offense: The Director will have a
conference with the student in order to attempt to circumvent the behavior and
reach and understanding that the behavior will not be tolerated. The parent of the student will be contacted.
2.
Second Offense: The director will assign
classroom punishment that is educational in nature and designed to modify the
behavior while complying with the State Department of Education standard
curriculum for instrumental music, which can be found at www.sde.ms.us.
3.
Third Offense: Parent conference in which the
parent will be made aware that the student will receive disciplinary action
through the school, and removal from the band program after the next
offense. Student will remain in the
class, but will not participate in band program.
4.
Fourth Offense: Removal from
the band program.
Bus Policy
The Long Beach High School Band is required to travel extensively during the fall semesters and the indoor programs are required to travel a deal in the spring. Therefore, it is important to understand the policies and procedures associated with travel with the band.
Bus
List:
A signing list will be posted during the first week of school. This list will be used throughout the season. The director reserves the right to modify or completely dissolve the signing lists in the event that it is becoming a distraction or source of tension. In this event the band will be assigned seats.
Bus
Rules:
1.
Observe all rules of the Long Beach High School Band Program and those
of the Long Beach School District.
2.
No trash of any kind is to be left on the bus.
3.
Nothing is to be put outside the windows of the bus.
4.
Quiet at Railroad Crossings.
5.
Excessive noise that could be potentially dangerous will not be
tolerated.
6.
Couples-this is a band function, not a date!
7.
When we return put up windows.
8.
At away games and contest you must return with the band. Unless, you
provide the director with a signed note 24 hours before the event from your parents. Your Parents must sign you out with
your bus chaperone. You must then tell your
bus captain that you are checked out. No
one will be released without following the proper guidelines. Except in an emergency situation.
9.
Be courteous, do what
chaperones ask and thank the chaperones and truck/bus drivers.
10.
Do not use the emergency exit
doors unless an emergency arises. They
are not to be used for loading and unloading the bus.
11.
Leave valuables at home, we
are not responsible.
In
the event that these rules are not observed the student or students involved
will be subject to disciplinary action from the director in minor cases and
from the school in extreme cases. Any
bus left in a condition of disarray will result in the members on that bus to
clean each bus, practice field, and the area around the band hall the next
week.
Rules and Regulations for Overnight Trips
In Order to maintain the standards of excellence and pride that exists in our band we must remember that there are things that we must not do when we travel. These rules are designed so that everyone can enjoy themselves in constructive and positive ways.
For
space reasons, luggage is limited to one (1) suitcase and one
carry-on bag. (This does not include your garment bag.)
We
will exhibit controlled behavior and keep noise to a minimum in the Hotel and
throughout the trip.
All
students must be in their rooms when told, and abide by rules given by the
director. This includes having
respect for all adults on the trip.
There
will be no changes in the bus list or rooming assignments once the trip has
begun, unless approved by the director.
Girls are not allowed in boy’s rooms and boys are not
allowed in girl’s rooms. Any visitation
must be done in the hallways or in designated areas of the Hotel (lobby,
recreation areas, etc.)
Double
check to make sure that you have all your property when we leave. Never assume that someone else has taken
care of your things!
Remember: DO NOT BRING EXPENSIVE ITEMS SUCH AS
JEWERLY, CLOTHING, PERSONAL BELONGING, ETC.
THINGS CAN GET STOLEN AND CHAPERONES WILL NOT BE RESPONSIBLE FOR
HANDLING THEM FOR YOU.
At all times, dress should be appropriate and respectful.
All
students must stay in a group of three or more when given free time. There will be no incidences when a student is
alone in large public areas. We must
stick to our schedules and remember “TO BE ON TIME IS TO ALWAYS BE EARLY!”
Because
band members are constantly on display, each must always be aware of the
importance of good behavior. The student
should remember they represent the band, school, and community whenever they
perform or appears in public. Any
misconduct casts a direct reflection on our school and community and may well
undo the good work of hundreds of loyal students. Any hint of misconduct or activities
that are not acceptable or defined in this book will result in possible
expulsion from our program.
Let us remember our purpose for any trip. We are to represent our school and have fun in an organized manner. Let’s do our best to make the most out of this experience!
Medical Information
The Band Bag and the Medical Kit accompanies the band on all excursions. The Band Bag contains things that are necessary for last minute uniform and equipment repairs. It also contains basic first aid.
If your child is to be on any medication on any trip, a medication form will need to be completed and signed prior to the trip. The medication will be kept in the custody of the band nurse or their assigned chaperone.
Phone Policy
In order to establish a sense of responsibility and to insure that the director is able to arrive home at a respectable hour after football games and contest, I am instituting the following phone policy, It will be strictly adhered to at all times. In the past we have had students at the band hall for two and three hours after the completion of an activity. This is completely unfair to the director or staff that have to stay with these students. Please be there to pick up your child at the designated time. Please check the website to see the tentative return of the band.
(1) After Games
The telephone will be off limits after football
games except in the case of an emergency.
In the event that you are not able to pick up your child at the
designated time, please make arrangements to have them brought home by a
friend/relative, or arrange for them to ride home with another student. The director will wait a reasonable amount of
time before calling, however, a phone conference with the
parent will be necessary for the student to march the following week.
(2) During
School
The phone is
absolutely off limits during school, unless it is an emergency.
Dues and Fees
The financial
support of the band program provides both a challenge as well as a considerable
opportunity for the band members and their families. The School District provides what it can for
the band programs in our district; unfortunately this amount is not always
sufficient to sustain a program of this size.
Therefore, the Booster organization must generate the additional funds
that are an absolute necessity in order to have a meaningful and successful
program. Financial assistance is
available for those who need it.
The fees that are collected at the LBHS are used to
cover the operating expenses during band camp, including the hiring of extra
staff, T-shirts, any activities that are planned for the camp and to help kick
start the concession stand for the boosters.
In the event that a student’s account fails to meet the required amount outlined here, the student will be placed on alternate status. This includes the winter indoor units and the marching band. This rule will be strictly enforced and is not subject to negotiation.
Band Fees / End of Band Camp
Winds: $150
Drums: $150
Guard $150
There may be an
additional fee if and when we decide to go on a trip, details pertaining to
that will be given to you as soon as they become available. Fees for winter programs will be determined as
the time draws nearer and will be disclosed as soon as the need becomes
apparent.
Fund Raising
Throughout the year each student has the opportunity
to participate in fundraisers.
Fundraisers are to help students earn money for the general
account. The general account covers
their needs throughout the year, including trips. Each student will need to participate in at
least half of the fundraisers in order to reach their goal needed for their
account. Fund Raising is fun, and a
positive, helpful attitude at all times makes it more successful for the entire
program. Fund raising is where we
interface with the community. Many
people may never see us perform, so this is our opportunity to make them proud
by our character and behavior. BE RESPECTFUL! THANK THEM SINCERELY!
Many students are shy about asking for support /
money. You are expected to try and you
will get more comfortable as you gain confidence. Remember, you are selling yourself and you
are priceless. People want to reward you
for good work, so give it your best shot.
Money Procedure
In order to turn
in money for band fees or any other fundraising activity, the procedure is as
follows:
The mailbox is locked and I will not have a key to
it, so if you put something in it and forget one portion of the procedure, I
cannot retrieve it for you. The Band
Booster President and Treasurer will be the only two people with keys. The treasurer will open the box on a
designated day and will write your receipt while you are present to watch
him/her count the money.
Student Leaders
The band council
is a group of students elected by the band proper that work with the director
in an advisory capacity. The council is
made of the President, Vice-President, Secretary / Treasurer. All section
leaders, staff heads, and Drum Major.
Band Council Elections are held at the end of each year before band
banquet. To be eligible for any of these
positions, candidates must be full participants in the band program, exemplify
a superior attitude, work ethic, sense of dedication, and willingness to give
of their personal time for the betterment of the Long Beach High School Band
Program.
Section Leaders
Section leaders
are chosen based on musical / marching ability, plus all of the characteristics
listed in the student leadership section.
All student leaders will carry out the policies of
the Band, Band Director, School, and School Administration to the best of their
abilities. Anytime you question or
disagree with specific instructions from a student leader, please avoid confrontation
and discuss the problem with the directors at your earliest convenience. Student leaders cannot give you permission to
miss a rehearsal or performance, be tardy, or leave early. Student leaders should be positive and work
for the best interest of the Long Beach High Band at all times.
For a Student Leader / Section Leader to keep his /
her position must attend all summer rehearsals, all of band camp, all after
school rehearsals, and any other rehearsals that the director announces.
Uniform Policy
Private
Lessons
Private instructions are the key to developing an outstanding musical organization. Students who study their instruments privately show rapid improvement in individual musicianship. As these students improve, their excitement towards practicing increases, they continue to improve, and they become a stronger contributor to the overall success of the band.
Private lessons have a
great impact on the individual student and on our band program both this year
and in the future. The director will
assist you, if needed, in selecting a private instructor. The key to satisfactory results from private
instruction is to start as soon as possible… SO START
NOW!!!!!
Staff and
Chaperones
The staff of the Long Beach High School Band is one of the finest anywhere and has been selected due to the skills and qualities they possess and for the benefit they can bring to the band program. They should be treated with the highest level of courtesy and respect, as they are an extension of the Band Director.
Chaperones are also
extensions of the authority of the director.
Without the dedication of our chaperones and other adults that assist
the band, we could not survive. These
people work hard, and the only payment they receive is our appreciation. Be respectful, polite, cooperative, and that
the words “Please” and “Thank you” cost you nothing, but are highly valued by
the recipient.
Band Camp
Schedule
Band Camp Schedule will be announced at the end of April.
IT IS
MANDATORY ATTENDANCE!
Band Camp Do’s
and Don’ts
·
Be on time.
·
Do not leave campus during breaks (except
lunch)
·
During camp you will be allowed to use the
band room for lunch considering that you clean up after yourself. If you don’t, the band hall will be off
limits during lunch for the rest of camp.
·
Wear proper clothing-shorts, etc… No bathing
suits. No T-shirts, hats, or any type of clothing with ads on them when you are
representing LBHS Band,
·
Boys must wear shirts at all times, girls may
not wear halters or have bare midriff.
·
Wear good comfortable, sturdy shoes. No sandals, bare feet, etc. Wear socks.
·
Wear a hat.
·
Be careful of the sun. Use sunscreen SPF 25. You can’t give 100% if you are sunburned the
entire camp.
·
Bring a water cooler of your own—water will
be provided, but cups will not be.
·
Be courteous to all staff and parents; they
are here to help you.
·
No student vehicles on the practice field.
You must walk between the Band Hall and Pride Field.
·
There will be awards presented at the end of
camp.
·
Remember to have a positive mental attitude.
·
Make this the best and most exciting Long
Beach High School Band Ever!!!
Band Boosters
Parents are important part of the Long Beach High School Band, and have a vital role to play. Without the assistance and cooperation of Band Parents, there would be not chance for the level of success that we want the band to reach. There are many things parents can do.
1.
Attend Band Booster Meetings
2.
Volunteer for parent committees. There are many different tasks with which we
need your assistance, and everyone can find the niche that suits them best:
Chaperone, uniforms, transportation, equipment handling (pit crew), sewing,
meals, and publicity are just a few of the areas we need filled.
3.
Be supportive of the band program and your
child’s participation by:
a.
Assisting your child to be prepared and
punctual for every rehearsal and performance.
b.
Notifying the director if your child is to be
absent or late for performances or rehearsals.
This should be done in advance unless it is an emergency.
c.
Encouraging your child to practice at home
and giving them a quiet place to do so.
d.
Showing your support in your child’s
endeavors by enthusiastically attending every performance possible.
e.
Discussion with directors and staff anything
that will help them understand and better serve your child.
f.
Arranging private lessons for your child if
at all possible.
4.
We welcome visitors to rehearsals, but
request that they remain quiet so as not to disturb the focus of the students
or staff. Cheering at appropriate times
is welcome!!
5.
Help your child in their participation in
fundraising; your help and encouragement will often give them the motivation
they need to raise the money needed to satisfy their fee responsibility.
6.
Please visit our website for all upcoming
events. www.lbhsband.com
PARENT / GUARDIAN SIGNATURE IS REQUIRED
Student’s
Name:______________________________________
The Long Beach
High School Band and the Long Beach School District request your permission to
use and publish pictures (videos or photographs) and writings of your child
during the 2007-2008 school year. These
pictures or writings will be used for public relations and information in
newspapers, television, magazines, school yearbooks, etc…
Please
indicate permission status and sign below.
Thank you.
______My
child’s picture or writings may be published during the 2007-2008school year.
______My
child’s picture or writings may not be published during the 2007-2008 school
year.
Parent’s
Signature_____________________________________Date:____________________
TRANSPORTATION / RELEASE OF LIABILITY
I give
permission to my child,________________________________________to accompany or
participate in all the Long Beach High School Band activities. I understand that by my signature below, I waive
all claims of liability in case of accident, illness, or occurrence against the
Long Beach School System, its staff, and trip chaperones.
The person herein
described has permission to engage in all prescribed activities. I also assure all responsibility,
accountability, and liability for any acts arising from the actions of my
child. This permission includes the
right to ride in a school buss or private vehicle.
In the event that I cannot
be reached in an emergency, I hereby give permission to the physician selected
by the teacher in charge, to hospitalize, secure proper anesthesia, or to order
injection or surgery to my child.
_______________________
_____________________
Parent or
Legal Guardian
Phone Number
_______________________
______________________
Parent or
Legal Guardian
Phone Number
Person to
contact if I cannot be reached in case of emergency:
Name:__________________________________
Phone:__________________________________
Relationship:_____________________________
Medical Authorization
NAME AND
ADDRESS OF STUDENT:
__________________________________________
______________________________________________________________________________
DATE OF BIRTH:______________________________________________________________
ALLERGIES OR
MEDICATIONS ALLERGIC REACTION:_________________________
______________________________________________________________________________
______________________________________________________________________________
NAME AND
ADDRESS OF PARENT OR GUARDIAN:______________________________
______________________________________________________________________________
______________________________________________________________________________
HOME
PHONE:________________________________________________________________
WORK PHONE:________________________________________________________________
CELL PHONE:
________________________________________________________________
PAGER:_______________________________________________________________________
I , the
undersigned parent or legal guardian of___________________________________, in
the event of injury, illness, or other medical emergency, do hereby authorize
examination, treatment, and medication of the above student as may be
considered proper. I further state that
I am the _________________________________________(relationship) of the above
named student.
________________________________
(signature)
________________________________
(print name)
SWORN TO AND
SUBSCRIBED before me, a Notary Public of________________________
County,
Mississippi, on this the _______day of ________, AD, 20______.
________________________
NOTARY PUBLIC
My Commission Expires:
_____________________
(SEAL)
Consent Form 1
Long Beach School District Participant’s Pledge and Policy Consent/Release Form
As a participant in Extracurricular Activities, Co-curricular activities
or the recipient of a privilege for which a permit is required (i.e. operating
a motor vehicle on campus), I pledge to remain free of alcohol, tobacco and
illegal substances at all times. I
understand that violation of the Long Beach School District Substance Abuse
Testing Policy might result in my exclusion from extracurricular activities,
co-curricular activities and privileges as determined by the administration of
school. I agree to submit to alcohol,
tobacco and drug testing at any time as a condition for my initial or continued
participation in the above stated privileges and activities. I authorize the testing agency, laboratory,
or medical provider to release test results to the Long Beach School District
and its Medical Review Officer. I
authorize the Medical Review Officer to release final test results to the
designated Long Beach School District official.
Student Signature_________________________________ Date__________________
Student Printed Name_____________________________ Date__________________
Parent/Guardian Signature_________________________ Date__________________
Parent/Guardian Printed Name_____________________ Date_________________
Witness Signature________________________________ Date_________________
* *
* * * OR *
* * *
* *
Consent Form 2
Long
Beach School District Policy Consent/Release Form
As a participant in Extracurricular Activities, Co-curricular
activities or the recipient of a privilege for which a permit is required (i.e. operating a motor vehicle on campus), I
acknowledge having read and understand the conditions of the Long Beach School
District Substance Abuse Testing Policy and understand that a violation of that
policy might result in my exclusion from extracurricular activities,
co-curricular activities and privileges as determined by the administration of
my school. I agree to submit to alcohol,
and tobacco and drug testing at any time as a condition for my initial or
continued participation in the above stated privileges and activities. I authorize the testing agency, laboratory,
or medical provider to release test results to the Long Beach School District
and its Medical Review Officer. I
authorize the Medical Review Officer to release final test results to the
designated Long Beach School District official.
Student Signature_________________________________ Date__________________
Student Printed Name_____________________________ Date__________________
Parent/Guardian Signature_________________________ Date__________________
Parent/Guardian Printed Name_____________________ Date_________________
Witness Signature________________________________ Date_________________
Consent Form 3
Long Beach School District Policy Consent/Student Release Form
As a student of the Long Beach School District, I acknowledge having
read and understood the conditions of the Long Beach School District Substance
Abuse Testing Policy and understand that a violation of that policy might
result in my exclusion from extracurricular activities, co-curricular
activities and privileges as determined by the administration of my
school. I agree to submit to alcohol,
tobacco and drug testing at any time as a condition for my initial or continued
participation in the above stated privileges and activities. I authorize the testing agency, laboratory.
Or medical provider to release test results to the Long Beach School District
and its Medical Review Officer. I
authorize the Medical Review Office to release final test results to the
designated Long Beach School District official.
Student Signature_________________________________ Date__________________
Student Printed Name_____________________________ Date__________________
Parent/Guardian Signature_________________________ Date__________________
Parent/Guardian Printed Name_____________________ Date_________________
Witness Signature________________________________ Date_________________