Susan O. Nothnagle, Director
(434)244-3106 / (434)244-3104 Fax
BAND FEE SUBMISSION FORM
Student’s Name: __________________________________________Grade __________
(Circle the applicable items and turn in this form
with payment by Friday, August 24th )
Uniform Maintenance
Fee Marching Band/Flag Yes $30
Gold Tie Rental Jazz Yes $5
School Instrument
Rental All Bands Yes $75
(if using school instrument)
Percussion Use Fee All Percussionists Yes $25
Red Bow Tie Rental Stage Band Yes $5
Band T-Shirt Marching
Band Yes $11
(Marching Band Theme – “Dr Jekyll & Mr. Hyde”)
Size (Please
Circle) S M
L XL
TOTAL AMOUNT DUE $__________
Please make all checks payable to
NOTE
-Symphonic Band and Stage Band members will provide their own black dress pants/skirt white dress shirt and black dress shoes for concert performances.
-Jazz Band will provide their own black dress shirt, black dress pants and black dress shoes.
-Wind Ensemble will provide their own white tux shirt (discount at After Hours), black pants/skirt and black dress shoes.