Child Performer Form

SECTION A
Name of Performer

Date of Birth

Home Address

Current School

SECTION B
On the day(s) of performance all Performers age 16 or under must be signed in and out. We can only release a child into the care of one or either Parent/Guardian as named below (please indicate relationship). Please also answer the medical questions.

MotherFatherGuardian

Contact Number

Parent/Guardian

MotherFatherGuardian

Contact Number

Emergency Contact Name & Number
(If preferred to either of the above)

Medical Conditions (if none, state none)

Medication to be kept on Child (if applicable)

Do you give permission for this information to be stored and processed by Ovation Music within the scope of our Privacy Policy * (required)
Yes

Please leave this field empty.