Social Media Permission Slip

1

Parent/Guardian Name* This field is required.

First Name

Last Name

2

Dancers Name* This field is required.

First Name

Last Name

3

Please select on the next page whether or not you give permission for your dancer’s picture or video to be posted
on our official company’s social media pages as well as our website. Your child’s personal information will NEVER appear.

4

I GIVE permission for my dancer’s picture and or video to be posted on the dance company’s official social media pages and website.* This field is required.

Agree

Decline

5

Parent Signature* This field is required.

Clear