2026 Kansas Masonic All-State Marching Band Camp Sponsorship Request/Camp Registration Form

2026 Kansas Masonic All-State Marching Band Camp Sponsorship Request/Camp Registration Form
Important Notice: Completing the following registration form as a Sponsorship Request does NOT guarantee a spot at the 2026 Masonic All-State Marching Band Camp. All students who submit a sponsorship request for camp will be contacted as soon as a sponsorship has been submitted for them to confirm their spot at camp. If a student has not been sponsored by the sponsorship deadline, they may have the opportunity to pay their own camp fee of $450 to attend camp, if they choose to.

Please fill out the following forms carefully and completely. These forms also require digital signatures for your potential participation in the 2026 Kansas Masonic All-State Marching Band Camp. For questions or concerns, contact the Kansas Shrine Bowl Band Camp Coordinator, Danny Hendricks, at (620) 757-0585 or email band@KansasShrineBowl.com. You will receive an auto-reply email from "JotForm" once you submit this form. If you DO NOT receive the auto-reply email, your submission was not successful. Please check for any error messages that may be the result of required fields being left incomplete. If you do not complete all required fields, your forms will not submit successfully.
Application Information*

I would like to request a sponsorship to attend the 2026 Masonic All-State Marching Band CampI have been sponsored already for the 2026 Masonic All-State Marching Band Camp
If you are already sponsored, please let us know which Lodge is sponsoring you for the 2026 Masonic All-State Marching Band Camp
Student Information
Student Name*

First NameLast Name
Student Email (PLEASE USE A NON-SCHOOL EMAIL. Important communication will be sent by email during the summer, please use an email address that you will have access to during the summer months.)*
example@example.com
Student Cell Phone Number*
Please enter a valid phone number.
Student Mailing Address*

Mailing Address

Street Address Line 2

CityState

Zip Code
Age (as of June 23, 2026)*
Birthdate*

MonthDayYear
Date
Gender*
High School*
Grade Level (during 2025-2026 school year)*

FreshmanSophomoreJuniorSeniorIncoming Freshman in 2026
Senior Spotlight Information - Please include some fun facts, college plans, etc. for us to include on our social media senior spotlights for this year's campers!
T-Shirt Size*

SmallMediumLargeX-LargeXX-LargeXXX-Large
Student Photo (please make sure the photo clearly shows your face, this photo will be used for your ID card at camp, and if applicable, your Senior Spotlight feature)*

Cancelof
Do you plan to drive yourself to band camp? It is highly recommended that student's be dropped off at camp. Upon check-in at camp, any student who drove themselves to camp will not be allowed access to their vehicle for the duration of camp. All vehicle keys will be collected and stored safely by the Camp Director until check-out on Saturday.*

No, I will not have a vehicle at camp. (Recommended)Yes, I will be driving to camp and will be turning in my keys at registration.
Parent/Guardian Contact Information
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.
Additional Parent/Guardian Name

First NameLast Name
Additional Parent/Guardian Email
example@example.com
Additional Parent/Guardian Phone Number
Please enter a valid phone number.
Band Information

This information may used by the Band Director in determining instrument parts for camp. Please include any necessary information to help determine the best fit for your skill level.
High School Band Directors Email*
example@example.com
Instrument played in Marching Band - or - Color Guard*
Have you previously performed in an honor band?

YesNo
If yes, please let us know which honor band(s) and your role
What chair are you in your High School band?
Have you participated in the Masonic All-State Marching Band before?

YesNo
Have you performed a solo in any Regional or State music competitions or festivals?

YesNo
If yes, please let us know where and what ratings you received
Additional Comments (please include any additional awards, honors, etc. that will be helpful in determining your role in the 2026 Masonic All-State Marching Band)
Band Camp Rules + Facts
1. Registration will take place on Tuesday, June 23, 2026 from 1:00 to 2:00 pm at Emporia State University's Towers Complex. Lunch will not be provided.
2. Vehicle Policy: Students driving themselves to camp must turn in their keys to Camp Staff at registration and will not be allowed to access their vehicle until the conclusion of camp.
3. Check-out – Dorms: Check-out from the dorms will be Saturday, June 27, 2026 from 3:00 to 4:00 pm. All personal belongings should be loaded into a parent or guardian’s vehicle, unless the student drove themselves. If a parent or guardian cannot attend check-out, please notify Camp Staff as soon as possible.
4. Football Game: The Kansas Shrine Bowl football game will be Saturday, June 27, 2026 at Welch Stadium on the campus of Emporia State University. Kickooff is at 7:00 pm with pregame festivities starting at 6:20 pm. The band will perform during both pregame and halftime.
5. Camp Release: Students will not be released to their parents/guardians until the conclusion of the halftime performance. A parent or guardian must physically be present to check-out their student, unless the student drove themselves or is 18 years old.
6. Student Safety: Students cannot leave campus without a staff member at any time, including at registration, social events, and during Saturday's dorm check-out. Students may not leave for another camp during the Masonic Band Camp.
7. Substance Policy: No drugs or alcohol are allowed at camp. If found, police will be notified and the student will be immediately dismissed from camp.
8. Bullying Policy: The Kansas Shrine Bowl enforces a zero-tolerance policy for bullying. If a student is found bullying, they will be sent home.
9. Dorm Rules: Students will stay in Emporia State University dorms and are expected to be in their rooms by 11:15 pm nightly.
10. Room Assignments: Rooms and roommates will be assigned randomly and room requests will not be considered. Members of the opposite sex are not allowed in the dorm rooms.
11. Bedding & Bath: Students are responsible for bringing their own linens, including Twin XL bed sheets, pillows, blankets, bath towels, shower footwear, and toiletries.
12. Band Uniform: Students will receive t-shirts at registration, which must be worn on their designated days. Black shorts, capris, or skirts are required for Saturday's performances, along with white socks and shoes.
13. Practice: Dr. William Woodworth will oversee all musical portions of camp. Students will be under his supervision during practices, and while Shrine Bowl camp staff will oversee all other activities.
14. Music Distribution: Music will be sent out to all students via email in May and printed music will be provided at the first practice.
15. Instrument Policy: Students must provide their own instruments and accessories (extra valve oil, reeds, sticks, mallets, etc.). Questions regarding instruments should be directed to Dr. Woodworth at wwoodwor@emporia.edu. Silks and poles will be provided by the band staff for color guard.
16. Thank You Cards: Each student is required to write a thank you card to their Camp sponsor, which will be provided by Camp staff.
17. DISCLAIMER: Failure to notify the Kansas Shrine Bowl that a student is unable to attend camp will result in the student being ineligible for future camps and their sponsor being notified.
18. DISCLAIMER: Permission is granted to use photographs, audio recordings, digital media, or press statements of participants for promotional purposes related to the Shrine Bowl of Kansas, Inc. and Shriners Children’s.
19. DISCLAIMER: The Kansas Shrine Bowl, nor the Kansas Masonic Foundation, are not responsible for lost or stolen items. Please avoid bringing expensive jewelry or large sums of money. A small amount is recommended.
Please check your email regularly for important news and updates regarding the 2026 Masonic All-State Band Camp. Email will be the primary method of contact for camp information and updates. If you are not receiving email updates, please contact band@kansasshrinebowl.com to ensure you have all of the latest information regarding camp.
“I have read and understand the Band Camp Rules covering the Kansas Masonic All-State High School Marching Band and will abide by them. I understand that failure on my part to comply with all camp rules can result in being sent home from camp early. I also understand that the Kansas Masonic Foundation nor the Kansas Shrine Bowl are responsible for any lost or stolen items."
Please confirm you have read and agree to these Band Camp Rules*

Yes, I agree to comply with all Band Camp Rules
Student Signature*

Clear
Acknowledgement of Hold Harmless Agreement
I fully acknowledge and understand the risks to my life and limb associated with my participation in activities of the 2026 Kansas Shrine Bowl. In consideration of the privilege extended to me to participate in activities of the 2026 Kansas Shrine Bowl, I hereby expressly and voluntarily assume the risks of such participation and agree to hold harmless The Shrine Bowl of Kansas, Inc., its subdivisions, officers, directors, employees, agents and assigns; Shriners Children’s Inc., its officers, directors, employees, agents and assigns; City of Emporia, its officers, directors, employees, agents and assigns; Emporia State University, its officers, directors, employees, agents and assigns; Kansas High School Activities Association, Inc. ["KSHSAA"], its officers, directors, employees, agents, and assigns; each member school of KSHSAA with one or more students participating in the 2026 Kansas Shrine Bowl, including the employees, agents and assigns of every such member school, from all liability, damages, fees, costs and expenses of any kind or nature arising from or in connection with any injury, illness or other claim associated, either directly or indirectly, with my participation in any and all activities of the 2026 Kansas Shrine Bowl.
Please confirm you have read and acknowledge this Hold Harmless Agreement*

Yes, I have read and agree to the Hold Harmless Agreement
Student Signature*

Clear
Parent/Guardian Signature*

Clear
Medical History & Health Information

The Kansas Masonic All-State Marching Band Camp is an intensive 5-day camp that requires participants to be engaged in outdoor physical activity. There will be time spent practicing outside in the heat. While we do have certified medical personnel on staff to make sure everything is done in a safe manner and according to health and safety guidelines, each participant should consider their own level of physical condition prior to attending camp. Please take this into consideration if you experience any medical conditions that make outdoor activity in the heat a challenge. If you have any questions please contact the Kansas Shrine Bowl office at 913-602-8656.
Please complete the following medical information. This information is important for our medical staff, should any medical issue arise while at camp. Please complete this information as thorough and accurate as possible.
Family Physician Name*

First NameLast Name
Family Physician Phone Number*
Please enter a valid phone number.
Family Physician Address *

Street Address

Street Address Line 2

CityState

Zip Code
Participation in this camp requires physical exertion in potentially extreme weather conditions. If your ability to participate will be limited in any way and/or require special accommodation, please explain. Include any significant illness, injury or disability that may impact your ability to participate in camp.
Please list any MEDICATIONS that you are allergic to.
Please list any prescription medications that you take on a periodic basis.
Please list any special dietary requirements you may have. Please make sure to include any foods you are allergic too.
Do you consent to the administration of nonprescription medication to your student, with adult supervision, according to the manufacturer’s recommended dosage?*

YesNo
Do you consent to routine medical care and treatment, for your student, if deemed necessary by a licensed medical or healthcare professional.*

YesNo
Do you have health insurance?*

YesNo
Health Insurance Company Name
ID Cert. #, or Membership #
Address of Health Insurance Provider

Street Address

Street Address Line 2

CityState

Zip Code
Name of Policy Holder

First NameLast Name
This form must be signed by a parent or legal guardian whether health insurance is available or not.
I certify that the answers to the questions about the named student’s medical history and health insurance is true and accurate and any prescription medications will be taken only by the person for whom it is prescribed and according to the proper dosage.
Parent/Guardian Signature*

Clear
Additional Medical History/Health Related Comments (please include anything else that may have been missed, that you feel is important for our medical staff to know).
After submitting this form, you will receive an auto-reply email from "JotForm" confirming your submission. If you DO NOT receive this auto-reply email, it means your form has NOT been submitted successfully. Please verify that all required fields are completed and re-submit your form or contact the Kansas Shrine Bowl office at 913-602-8656 for assistance.
Should be Empty:

2026 Kansas Masonic All-State Marching Band Camp Sponsorship Request/Camp Registration Form

Student Information

Parent/Guardian Contact Information

Band Information

Band Camp Rules + Facts

Acknowledgement of Hold Harmless Agreement

Medical History & Health Information