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
___________________________ Cathy Rosenfeid, Association President
or Association appointed chaperon
____________________________ Parent or Guardian Signature