McEachern High School Marching Band & Guard

Parent/Guardian Permission FORM

FORM must be NOTORIZED

Student Name ____________________________________________________ Current Grade 8th 9th 10th 11th CCSD Student ID # ___________________________________________

Home Address (including zip) __________________________________________________________________________

Home Phone _______________________________________ Cell Phone ____________________________________

Email _____________________________________________________________________________________________

Instrument _____________________________________________________ Guard __________

Circle for Adult T-shirt Size: S M L XL 2XL 3XL

Parent 1 ____________________________________ Parent 2 ____________________________________________

Parent 1 Cell __________________________________ Parent 2 Cell ________________________________________

Parent 1 Email _________________________________ Parent 2 Email _______________________________________

Parent/Guardian Agreement

__________________________________________has my permission to participate in all activities sponsored and

sanctioned by McEachern High School Band, McEachern High School, and Cobb County Schools. I understand that my

child must abide by all rules, regulations, and policies set forth by Cobb County Schools, McEachern High School, and the

McEachern High School Band, and that all infractions of the above will be dealt with according to stated policies. Should

my child’s behavior jeopardize the health, safety, and/or welfare of other band students, I understand that he/she will

be sent home immediately. I accept full responsibility for all costs associated with my child’s misbehavior and

subsequent damage to property and personal injury. I am aware of the schedule for payment of dues and will make

every effort to submit these in a timely manner. I also understand any payments made will be forfeit in the event that

my child can no longer participate for ANY REASON.

In case of illness or injury, I give the band director(s) the authority to act on my behalf in seeking medical

attention for my child. I will accept the financial responsibility for all medical treatment and associated costs. I will not

hold the band directors, staff members, chaperones, or McEachern High School Band responsible for any costs

associated with the treatment of my child.

Parent Signature ______________________________________________________ Date _________________

Notary Signature ______________________________________________________ Date _________________

2021 Marching Band Dues Payment Schedule 1st Payment $90 Monday, April 26 Parent Meeting, Forms/Dues Collection & School Instrument Check Out 2nd Payment $90 Monday, June 7 3rd Payment $90 Monday, July 12 Band Camp 4th Payment $90 Monday, August 16 5th Payment $90 Monday, September 13 Final Payment $90 Monday, October 18 Total Dues for the 2021 season: $540* * Early Payment Discount - Dues paid in FULL by July 12 will receive $50 discount * Students who have an adult volunteer work any booster approved event receive $30 discount per event * Students who work events will receive verified service hours for Tri-M, Beta, etc. *Boosters will sponsor fundraisers during the year that will allow members and their families to offset a portion of dues. Discounts accrued up to $90 will be applied to the final payment due. Any additional discounts will be applied in order to the 5th payment, 4th payment, etc. Items covered by dues:

● Additional Instructional Staff & Admin Assistant ● Music Arrangements & Sound Design ● Copyright Permissions ● Show Drill Design ● Choreography ● Graphic Design ● Props Design & Build ● Competition Fees ● Snacks & Water Coolers ● Custom Design Moisture Shirts ● Band Uniform, maintenance and cleaning ● Guard Uniforms & Equipment (flags, rifles) ● Percussion Equipment & maintenance ● Electronics Equipment, Technology and maintenance ● Brass & Woodwind Instrument maintenance ● Transportation & Logistics Equipment (Buses, Trucks, Golf Carts, etc) ● Administrative costs (copies, binders, dot cards, etc)

Additional items not covered in fees:

o Wind Players & Percussion: marching shoes, gloves, show shirt

o Guard: Staff will provide an order form for required and optional items with prices.

MARCHING BAND PAYMENT VOUCHERS Please inc lude a voucher to each payment made to MHS Band Boos ters

S EPTEM BER PAY ME NT _____________________________________ Student First Name Last Name_____________________________________ Cobb County Student Identification Number

Please bring payments to the Band Office or mail to: McEachern Band Boosters � P.O. Box 535 � Powder Springs, GA � 30127 � Pay via PayPal on CHARMS

PAYMENT DUE SEPT 13th, 2021$90.00

AUGUS T PAY ME NT

PAYMENT DUE AUGUST 16th, 2021$90.00

_____________________________________ Student First Name Last Name_____________________________________ Cobb County Student Identification Number

Please bring payments to the Band Office or mail to: McEachern Band Boosters � P.O. Box 535 � Powder Springs, GA � 30127 � Pay via PayPal on CHARMS

JULY PAY ME NT

PAYMENT DUE JULY 12th, 2021 (band camp)$90.00

____________________________________ Student First Name Last Name____________________________________ Cobb County Student Identification Number

Please bring payments to the Band Office or mail to: McEachern Band Boosters � P.O. Box 535 � Powder Springs, GA � 30127 � Pay via PayPal on CHARMS

JUNE PAY ME NT

PAYMENT DUE JUNE 7th, 2021$90.00

______________________________________ Student First Name Last Name______________________________________

APRIL PAY ME NT

PAYMENT DUE APRIL 26th, 2021$90.00

_____________________________________ Student First Name Last Name_____________________________________ Cobb County Student Identification Number

Please bring payments to the Band Office or mail to: McEachern Band Boosters � P.O. Box 535 � Powder Springs, GA � 30127 � Pay via PayPal on CHARMS

Please bring payments to the Band Office or mail to: McEachern Band Boosters � P.O. Box 535 � Powder Springs, GA � 30127 � Pay via PayPal on CHARMS

MARCHING BAND PAYMENT VOUCHERS Please inc lude a voucher to each payment made to MHS Band Boos ters

OC TOBER PAY ME NT _____________________________________ Student First Name Last Name_____________________________________ Cobb County Student Identification Number

Please bring payments to the Band Office or mail to: McEachern Band Boosters � P.O. Box 535 � Powder Springs, GA � 30127 � Pay via PayPal on CHARMS

PAYMENT DUE OCT 18th, 2021$90.00

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6/1/17: Student Support *IFCB-3* Page 1 of 2

Form IFCB-3

“BLANKET” PERMISSION TO PARTICIPATE IN A SERIES OF SCHOOL-SPONSORED FIELD TRIPS

Student Information

Student Name:

Date of Birth:

Address:

Home Phone:

In case of emergency, notify:

Phone:

Insurance Information Company Providing Insurance:

Policy Number:

Name of Insured:

Group Number:

Medical Information Family Physician:

Phone:

Immunizations:

Does the student need to take medication? Yes No If so, what medication?

Previous operations or serious illnesses:

Special medical conditions:

Allergies? Yes No If yes, please identify allergy: Medication Food Stinging Insects Other

Please identify:

Dietary Restrictions:

Release

• I hereby request that (Student’s Name-PLEASE PRINT): ________________________________________ be allowed to participate in athletic team, band, orchestra, chorus, and/or any series of field trips related to one particular area of study or activity. I understand that transportation may or may not be provided by the Cobb County School District (District). In the event transportation is not provided by the District, transportation will be the student’s responsibility.

• Detailed trip information, including destination, date, time of departure, time of return, purpose, and supervision, should be given in writing to the parents at least two (2) weeks prior to each trip in the series.

• The District does have an indemnity plan pursuant to O.C.G.A. § 20-2-1090 that may or may not apply relative to the trip. Even if the plan covers some or all of the trip, the coverage amounts may not cover all injuries. I understand that as a parent I have the option of, and am encouraged to, purchase student insurance coverage either through the student accident insurance offered by the District or through my own insurance carrier.

• If any emergency medical procedures or treatment are required during the trip, I consent to the trip supervisor(s) taking, arranging for or consenting to the procedures or treatment in his/her or their discretion.

6/1/17: Student Support *IFCB-3* Page 2 of 2

• I agree to release, indemnify, and hold harmless or reimburse the Cobb County School District (District), its Board of Education, and its members, employees, agents, representatives, successors or assignees, as well as its approved adult trip supervisors (“District Indemnitees”) from and forever promise not to sue them on any and all claims, demands, rights, causes of action, liabilities, losses, damages, costs and expenses (including reasonable attorneys’ fees), whether known or unknown, that I, any other parent or guardian of the above-named student, the student or any other successor or assignee may have or may allege to have against the District Indemnitees or which may be brought against the District Indemnitees arising out of or in any manner relating to the student’s participation in the field trips, including but not limited any losses, damages or injuries or to the rendering of emergency medical procedures or treatment.

NOTE: This form must be signed by student if the student is 18 years of age or older.

Name of Parent/Guardian (PLEASE PRINT) Signature of Parent/Guardian Date

1/1/13: Student Support *JG1-1* Page 1 of 1

Form JG(1)-1

Empowering Dreams for the Future

PERMISSION TO DISPLAY STUDENT PHOTOGRAPH/NAME I hereby grant permission to Cobb County School District (District) to use or publicly display my child’s photograph, video image, or audio clip on the District’s Web site(s), individual school Web pages, or in other official District publications without further notice. I acknowledge the District's right to crop, edit, or treat the photograph, video, or audio clip at its discretion. I also understand that once my student’s photograph, video image, or audio clip is published on a Web site, it can be downloaded by any computer user, on or off campus. I understand a student’s name may be published along with the student’s picture. Therefore, I agree to indemnify, defend and hold harmless the members of the Cobb County Board of Education, the District, its officers, employees, agents, successors and assignees (the "Indemnified Parties") from and against any and all claims and liabilities resulting from this publishing. Subject/Nature of Event:

Permission is granted for the use requested above. NOTE: This form must be signed by student if the student is 18 years of age or older.

Name of Student Signature of Student Date of Student Signature

Name of Parent/Guardian Signature of Parent/Guardian Date of Parent/Guardian Signature(s)

VOLUNTEER OPPORTURITIES

Parent volunteers are a very important part of our Marching Band Program. There are many ways to serve the McEachern Band and we hope you will consider joining our team of parents in creating an “experience of a life time” for our students. We have several large events each year that are huge fundraisers for the band and the need of volunteers at these events is large.

Please check any circle(s) you would feel comfortable volunteering your time, energy and expertise. To make these teams work, we need folks that will step up to chair/co-chair a team. Don’t worry, there will be plenty of help to get you started and support during the year. Please circle or underline the group if you would be willing to consider a leadership position.

Volunteer teams: check circles and underline if you would consider a chair/co-chair position

o Band Camp Meal – Prep, Serve and Clean-up o Band Camp/practice snacks – prep and clean-up o Band Banquet/Award – planning, decorating, serving and clean-up o Bands of America (BOA) Powder Springs –many, many opportunities o Chaperones – games/competitions – you will be trained and given paperwork for

background check. o Color Guard – logistics, sewing, other as it comes up o Communications – this is a weak link that we really need help with o Concessions/concessions staffing – grill, prepare and wrap, wait on customers o Field Crew – moving equipment/props on/off field for performances o Food/Hospitality – general help with any functions needed o Props – building, repair and maintenance o Revenue/Fundraising – ideas, promotion etc. (need lots of help here) o Scrip – promoting, ordering, general help o Truck/load crew – loading and unloading truck(s) o MB Uniforms – cleaning, helping band get ready, working in uniform room o Volunteer where needed o Water – ice/water ready for practice in booster area and on field o WGI Atlanta Regional – many, many opportunities (spring event) o Concert Wear fall/spring – measuring for tuxes, shirts, dresses, helping students

get ready on concert nights, etc.