Show Consent Form | Jaykays Dance Company

Child's Name

Child's Date of Birth

Home Address

I give my consent for my child to participate in “Jaykays Curious” on; 04/05/24 at Royal Spa Centre, Leamington. I understand that during the show and rehearsal dates that my child will be left in the care of Jaykays Dance Company and their team of chaperones

YES

I give consent for my child to be filmed and photographed by an external media service for use in the show recording and for promotion & advertising purpose

YES

I am happy for my child’s name to appear in the show recording and programme

YES

Emergency Contact Name

Contact Number 1

Contact Number 2

Relationship to Child

Emergency Contact Name

Contact Number 1

Contact Number 2

Relationship to Child

In the event that you are unable to collect your child from rehearsals and performances then please leave a password for the person you have asked to collect

I give consent for the information on this form to be shared with the chaperones(s) caring for my child

YES

I understand that Jaykays Dance Company will only be responsible for my child during the stated dates and times as outlined on the rehearsal schedule

YES

Sign - please type your name

Date

Jaykays Show Consent Form