Show Consent Form

Students full name

Date of birth if under 18

Day

Month

Year

Parents name if student is under 18 on date of performance

Main contact number

Please confirm that the performer is in good health and able to perform at the San-Marie Show.

Please confirm that you understand all performers will have photos taken backstage in costume and on stage while they are performing.

Please confirm that you understand both performances will be recorded for download and DVD sales to parents.

Please confirm that you understand some dance footage and stage photographs may be used on social media and in future productions.

Please confirm that students aged between 11 (Year 7) and 16 must have parental consent to leave the theatre without a parent. Please tick here to give consent. All younger students must be collected by a parent.

Signature of parent or student over the age of 18

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Date of Signature