2020-2021
Marching/Concert/Jazz Bands,
In-Door Percussion / Winter Guard





STUDENT RELEASE FORM TO TRAVEL HOME WITH PARENT/GUARDIAN
FROM BAND/GUARD COMPETITION


I, ______________________ , HEREBY RELEASE the Port Chester School District

and the Port Chester High School Band Association from all responsibility as I will be

taking my child ________________________, home myself from the Band Competition

held  on _______________  in lieu of my child taking the charter bus.

The following have been notified of this request and have indicated their approval by their signature below.


        ___________________________       Mike Micili, Band Director
                                                                 or acting Band Director

     
                    ___________________________        Debra Scocchera, Co- President
                                                                  or
                                                                                Cristy Heffernan, Co- President
                                                                                      

                 ____________________________   Parent or Guardian Signature