Fee Payment Agreement
Central High School Band
Student
Name: _____________________________________Grade:
____9 ___10 ___11 ___12
Parent
Name: ____________________________________Home Phone: _________________________
Street:
__________________________________________Work Phone: _________________________
City:
_____________________________State: ______ Zip: _____________
Occupation:
__________________________Employer: ________________________E-Mail:
________________________
Parent
Name: _____________________________________Home Phone: ________________________
Street:
___________________________________________Work Phone: ________________________
City:
_____________________________State: _______Zip: _____________
Occupation:
__________________________Employer: ________________________E-Mail:
________________________
Please check all appropriate areas the student wishes to participate in:
____First
Semester Fee only ($200) $_____________
____Uniform
Fee Deposit – Winds, Guard, and Percussion only ($25) $_____________
____Buy
Out Option – Fall $175 $_____________
____Buy
Out Option – Spring $125 $_____________
____Sibling
Discount (-$50) (Sibling Name: _____________________________) $_____________
It is the intent of the Bobcat Band Boosters, Inc. to give all students the opportunity to participate in the program. If a student qualifies for the free/reduced program, all or part of
the
cash fees may be waived.
New member fees are due as follows: 1st Semester
prior to the start of band camp, 2nd semester prior to 2/1. New students
will not be given shoes, t-shirts, concert uniforms, etc. until the new member
fees have been paid.
Refund Policy: After
Band Camp, student fees will not be refunded, unless the student moves school
districts, etc. A student dropping band because they do not like it or they
decide it is too much work is not an excuse for a refund of fees. We budget our
band camp staff, etc. based on the number of students paying fees.
I understand that I am responsible for the above
fees. I further agree to pay these fees on or before the due dates
stated. Failure to pay fees on a timely basis may result in my student(s} not
being allowed to participate in band activities outside of the classroom. In
addition, I understand that am responsible for any additional miscellaneous
expenses incurred by my student.
Signature
of Parent/Legal Guardian: _______________________________________________
Band
Fees and Forms must be placed in an official envelope and placed in the lock
box on the back of the band office door.
DO
NOT
hand fees in to a director. Fees may also be mailed to the Band
Director at school.
4 05/10/06