Bring a Friend Permission Slip

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This form must be completed in order for a child to participate in activities at the Academy of the Arts.

Email *

My child is a guest of *

My name is *

I am the *

Parent

Legal Guardian

Student

Phone Number

Student's Name *

Student's Birthdate *

YYYY

I plan to attend on the following date:

Mailing Address

Street Address: *

City *

State *

Zip *

I authorize the student listed below to participate in activities at the Academy of the Arts. I understand that there is a potential for injury with participation in any sport, including all classes at Academy of the Arts; and, while Academy of the Arts, its owners, directors, and teachers, will make every reasonable effort to eliminate potential for injury, such injury may still occur. I understand this risk and agree to hold Academy of the Arts, its owners, directors, and teachers harmless from any and all liability connected with any injury arising out of participation in classes at Academy of the Arts. *

I have read the above and agree.

I am the parent or legal guardian of the named child and am legally authorized to make decisions for the above named child.

Required

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