Please complete the required informaton.

I, , parent/guardian of , give my daughter/son permission to participate in the Minnesota Band Director’s Association (MBDA) 2024 SEMBDA 1st and 2nd Year Festival activities on May 11, 2024 08:00 am to May 11, 2024 12:00 pm in Lake City, MN. I understand that I am responsible for all transportation, lodging, and other miscellaneous expenses not specified to be provided by MBDA in the written materials that were sent with this registration form.

I hereby voluntarily agree to assume all risks and responsibilities surrounding my child’s participation in the Minnesota Band Director’s Association (MBDA) 2024 SEMBDA 1st and 2nd Year Festival (May 11, 2024 to May 11, 2024). I hereby release, indemnify, and agree to hold harmless the Board of Director’s of the Minnesota Band Director’s Association, its officers, agents, director’s, volunteers, representatives, and the Honor Band site host (300 S Garden St) from any liability or claims which may result from my child’s participation.

In the event that my child should need medical attention during the time of the event, the Minnesota Band Director’s Association will make every effort to contact me, the parent or guardian, for directions as to that care. In the event that I cannot be reached, I hereby authorize MBDA staff to obtain emergency medical care for my child during the honor band activities. I understand that I am responsible for the costs of all services and medications.

Special medical needs, concerns, dietary restrictions, allergies to food or medication:

Dated:

Photographs will be taken throughout the weekend activities and may be used in publishing and advertising (including but not limited to the MBDA booth at the MMEA state convention and the MBDA website).

Please check here if you DO NOT give us permission to include your child in photographs