2018-2019 Music Participation Patches/Pin Order Form

In order to receive the patches/pins noted below, you must complete this form. There is a $10 fee (per year,
per student) to help defray the cost of these items. Enclose this form w/check or cash in an envelope marked
"Patches/Pins Order" and drop it in the Band or Choir Mailbox no later than April 1, 2019.

Student Name (PRINT):

Current year in high

school (circle one) Freshman Sophomore Junior Senior

___ I have included a $10.00 check (payable to BHS Music Boosters) or

___ I have included $10 cash

_______________________________________________________________________________
Parent Signature

_______________________________________________________________________________
Contact information, in event of questions (phone # and/or email address)

Program Circle all applicable below Item to be Received

"Patches" -Class
BAND & CHOIR PARTICIPATION 1st year
graduation year numerals
Circle applicable:
2nd year Patch - Little “B”
Wind Symphony,
3rd year
Symphonic Band,
And circle: Band Choir Patch -Big “B”
Concert Band, Freshmen Band,
Both
Sunrise Singers,
Bella Voce, Mixed Choir 4th year Service Bar

1st year only Madrigal Patch

MADRIGAL/VJE
2nd, 3rd, or 4th year Service Star

1st Year only Patch

JAZZ BAND 2nd, 3rd, or 4th year Service Star
1st year (Jazz 1) only Jazz Pin

RAIDER MARCHING BAND 1st Year only Patch - RMB

DRUMLINE & 1st Year only

COLOR GUARD Patch
circle:
(Must have missed NO more than 3 rehearsals,
including Mondays) Drumline or Color Guard