Permission (please check boxes to confirm you agree) *
Required
Parent/Guardian's Name (electronic signature) *
By typing your name in this form field you are placing your electronic signature on this form confirming that all information is correct.
Your answer
Contact Phone Number *
Your answer
Email address *
Your answer
All students must be picked up by a parent or guardian from the door or curb in front of the studio. For children aged 13 years and older, you may give permission for the teacher to let them leave unaccompanied from the studio premises by checking this box.