Uncategorised – Amour Dance Studio

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28 Oct 2020
studiodance
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Contact information/Photographic performance permission.

give permission for my child to have photographs/Videos taken during classes and any performances your child maybe in with Amour dance Studio. The footage taken may be used on any of Amour Dance Studios social media pages/ Website and may also be used for advertisement purposes.
I DODO Not
Your name

signature

Date

Child name

age

Childs Date of Birth:

What relation are you to the child (optional)

email

Emergency Contact Number:

Parent or guardian who will be collecting your child from classes:

What relation is this to your child:

If stated above someone who is not you, please could you write an emergency contact number:

Any allergies your child may have please write here:

Any Medical conditions we may need to know about:

Does your child need an inhaler?
YesNo

Anything else we might need to know about:

If for any reason any of the details above change, please contact us as soon as possible.