Student Name *

First Name

Last Name

D.O.B *

MM

DD

YYYY

May we use your image in our own printed publications produced for promotional and documentary purposes? *

Yes

No

May we use your image on our website? *

Yes

No

May we use or record your image on our social media platform? *

Yes

No

"By completing and signing this enrolment form, you are agreeing to comply with Mays Performing Arts Terms and Conditions. This form will be valid at all times during your child’s time with us. In the unlikely event of an Emergency, I authorise the teacher, or such person who may act as the responsible deputy, to give consent for my child to receive emergency treatment " *

Yes