I, (we), the parents of ________________________________________, give our permission for him/her to attend and participate in all scheduled band events and field trips for the 2007-2008 school year.  By granting our permission, we understand that all rules and regulations governing the students in school will be in full effect during all trips and support their enforcement by the MHS Staff.  It is understood that violations of these rules may result in the suspension or termination of a student's involvement in field trip activities.

We have read and understand the MHS Band Transportation Policies described in the Band Handbook, and agree to adhere to those requirements, understanding that all students are expected to ride the bus to and from any field trip destination.  In the event the student will need to use transportation other than the bus provided by MHS, Mr. Soukup must have a written notice from the student’s parents/guardians relieving MHS faculty and staff of any liability.  Band students will be required to ride the bus to any performance to ensure timely arrival of all members for pre-performance preparation.  If my child needs alternate transportation after a performance, I will write and sign a brief note including date, event, student name, who will drive the student (students may not drive themselves or any other students to or from any school related activity), and send it to Mr. Soukup.  This will be turned in prior to the event.

Furthermore, I (we) grant any adult in possession of this agreement the right to seek and provide any medical attention deemed necessary in the event of a medical emergency.

We also agree that we will not hold any MHS employee, MHS administrator(s), or Board of Education member(s) responsible or liable for any damages, loss, or injury which may occur during any trip.

________________________________        __________________________________
Parent/Guardian Signature  

Home Phone______________________ Work Phone________________________

Alternate phone in case of emergency:____________________________________

We are insured with __________________________________________________

Group or Policy Number_______________________________________________

Please list any medication your child is currently taking.  Please list any known allergies or any other information that might be needed.