AllergyMedia

MEDIA & ALLERGY FORM

* Indicates required field

Parent Name *

First

Last

Email *

Student Name *

We sometimes have snacks and treats for the students at the end of the lessons. Does your child have any allergies? *

Yes No

Please note down any allergies or dietary preferences if applicable. *

We may take photographs or short videos during lessons or recitals. These images and videos help us celebrate our students' progress and share the joy of music with our community. No personal information will be included with the videos/photos.

Choose One *

I give permission for my child to be photographed/recorded. I DO NOT give permission for my child to be photographed/recorded.

NOTE:

As our recitals are open to the public, we cannot ensure that your child will not be included on any videos/pictures taken by someone else.
All Group Recital Performances are all recorded. Students who opt out of being recorded will not be able to take part in Group Recital Performances. They can, however, take part in all Solo Recital Performances.

SUBMIT