First Name

Last Name

Phone Number

Graduation Year

pronouns (optional)

T-Shirt Size (adult)

Instrument (optional)

Attendance Policy

Student will attend all rehearsals and weekend competitions (see https://app.boosterhub.com/calendar). Any absence must be approved by Mr. Soon in advance.

Health Insurance BRAND NAME and GROUP ID

Code of Conduct

Student will act appropriately & respectfully, follow directions, put forth their best effort, and have fun. Student is responsible for their own equipment, including instruments (if using an LHS-provided instrument, it must be returned in its original condition, excepting normal wear and tear).

Student's name on insurance, if different

Student Fundraising Commitment

Student is expected to participate in 5 Can Drive fundraisers (work or bring 2 bags), and 1 shift at LWC (if not performing), unless otherwise arranged.

Medical Notes (list any prescription medications, allergies, medical conditions, Epi-pen, inhaler, etc or None)

Student e-Signature (student, please type your full name)

Dietary Restrictions (optional)

e-Signature Date

Primary Parent/Guardian

First Name

Last Name

Phone Number

Address

State

City

Zip

Hold Harmless Agreement

I release Liberty High School, its representatives, agents, and employees from liability for any injury to above named student, resulting from any cause whatsoever occurring to above named student at any time while participating in marching band or colorguard, including travel to and from competitions, excepting only such injury or damage resulting from willful acts of such representatives, agents, and employees.

32-hour Volunteering Commitment

Parents (and/or family or friends) are expected to complete 32 volunteer hours per family per season (see https://lbb.boosterhub.com/about/11828) unless otherwise arranged.

Medical Authorization

I authorize the advisor or chaperone to administer and/or obtain routine or emergency diagnostic procedures and/or routine medical treatment for the above-named student as deemed necessary by medical judgment. Every effort will be made to contact parents/guardian prior to any treatment.

LMAC/LWC Volunteering Commitment

Parents (and/or family or friends) are expected to volunteer a minimum of 1 shift per family per year at either LMAC (Oct 11, 2025) or LWC (Mar 28, 2026).

Photo Release

I acknowledge photographs of the group or individual students may be used to promote the activities of the band program in print publications, presentations, websites, or social media; and no royalty, fee, or other compensation shall be provided for such use.

Financial Agreement

You will be billed $20/hr for any unmet volunteer hours and $80 for unmet LMAC/LWC shift, unless otherwise arranged. Unpaid fees may prevent your student from receiving their diploma.

Parent/Guardian e-Signature (please type your full name)

e-Signature Date

2nd Parent/Guardian (optional)

First Name

Last Name

Phone Number

Emergency Contact

First Name

Last Name

Phone Number

Additional Items Available

Volunteering Opt-Out

$ 640.00

If you know you won't be able to volunteer at all, and don't have a friend or family member who might be willing to volunteer on your behalf, and don't want to wait to be billed at the end of the season, you can pre-pay now.

+ Add to package

LMAC/LWC Opt-Out

$ 80.00

We need you! Our two biggest fundraisers keep participation fees low, but if you can't help Oct 11 or Mar 28, and don't have a friend or relative who could take your place, and don't want to wait until the end of the year to be billed, you can pre-pay now.

+ Add to package

SubTotal	$ 375.00
Sales Tax	$ 0.00
Transaction Fees	$0.00
Total	$375.00

Liberty Band and Guard

Liberty Band and Guard

Register For Liberty Band and Guard

Student

Primary Parent/Guardian

2nd Parent/Guardian (optional)

Emergency Contact

Fall 2025 Marching Band Registration

$ 375.00

Additional Items Available

Volunteering Opt-Out

$ 640.00

LMAC/LWC Opt-Out

$ 80.00

Payment Details

Credit Card

ACH

Your Items

Fall 2025 Marching Band Registration

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