CONSENT FORM

Performers Consent and Waiver Form

Please Fill Out For Each Performer

Due 25th October

Event Name: Jack And The Beanstalk

Date: 14th December 2024

Show Times: 1.30 pm & 6.00 pm

Location: Papa Hou Second Floor, 4 Rolleston Ave, ChCh, City Centre

Performers Name

Mobile Phone Number

Emergency Phone Number

Email Address

Parent/ Caregiver Name

Age of Performer

PARTICIPATION RULES AND CODE OF CONDUCT

As a performer, my child agrees to adhere to the following rules and code of conduct:

Perform at Your Own Risk: My child acknowledges that they are responsible for their safety during rehearsals and performances. Any safety concerns must be addressed to the Artistic Director or voiced during rehearsals. Health and Safety Procedures are detailed will be available to view on this website and implemented during the show.
Respect Other Performers: They will treat all fellow performers with respect and professionalism, fostering a positive environment. Support the other dancers in every way possible with kindness and encouragement.
Follow Instructions: My child agrees to follow all instructions from choreographers, directors, staff, and parent volunteers.
Respect the Venue: My child agrees to respect the property and equipment of the theatre. Any intentional damage will be their financial responsibility.
Respect Costumes and Props used in the show: My child agrees to be responsible for keeping the items needed for their performance in tidy order, take care when dressing to not get make-up, stand on or rip costumes and ever eat in your costume. Only water is allowed to be consumed while in costume.

RESPONSIBILITIES

Ensure my child arrives on time for rehearsals and performances.
Email Dance Central Studios immediately if my child is unable to attend rehearsals due to sickness or injury, either for rehearsals or on the day of the performance.
Communicate any medical conditions or health and safety concerns regarding my child.
Provide the appropriate hair and make-up supplies and dance attire required for the show.
Provide dry food and snacks; avoid food that needs preparation (e.g., no hot food/noodles). Also, avoid packing food that places unnecessary demands on parent helpers/volunteers or may pose a safety risk for burns or food allergies.
Do not record, take pictures, or post other people's children on social media without the consent of other parents/caregivers.

HEAD LICE POLICY

Head lice are extremely contagious and may be passed through shared clothing, headgear, combs, brushes, etc. Dance Central Studios has a “no head lice” policy. Students found to have live head lice will be excluded from rehearsal until the problem is remedied.

MEDIA RELEASE

As a participant in the production, I permit my child to be photographed and videotaped to archive the show. Show photography and videography will be distributed to Dance Central students and families as memorabilia.

I Agree

By participating in Dance Central performances, participants grant permission for Dance Central to use images or videos captured during performances for promotional purposes including website, social media and other marketing collateral.

Grant Permission

Decline Permission

I give permission for Overflow Productions (our photographer) to use images or videos captured during performances for promotional purposes including website, social media and other marketing collateral.

Grant permission

Decline Permission

MEDICAL/HEALTH POLICY AND DECLARATION

I confirm that my child is in good health and fit to participate in the upcoming dance show organised by Dance Central Studios. I assure you that he/she is capable of performing the required dance routines.

Furthermore, I will disclose any medical conditions that may have lasting consequences if my child participates in the dance show.

If my child has any injuries or illnesses that the Artistic Director considers severe enough to affect the dancer's safety, the quality of production or jeopardise other cast members in any way, the Director reserves the right to withdraw my child from the show without recourse.

List any relevant medical conditions/allergies or state "No known medical conditions" if applicable.

I Agree to the Medical/Health Policy and Declaration.

EMAIL & EMERGENCY CONTACT SHARING CONSENT

Allow for email and contact details to be shared with the production team/parent helpers in case of emergencies/organising details relevent to the show.

PRODUCTION FEE

To contribute to the costs of the end of year show, a production fee and a costume hire fee will be added to your Term 4 invoice. The production fee will be a fixed fee for each student and is a partial contribution to the costs associated with staging the production. This fee will include theatre fees, as well as a programme and video of the show for each dancer.

Many of the costumes and props required for the show will need to be made and the costume hire fee will contribute to these costs. The costume hire fee for each dancer will depend on the number of roles and costumes your dancer has in the show and every effort will be made to ensure the costs are kept to a minimum. Please speak to us if your financial situation makes paying these fees difficult.

PARENT/CAREGIVER SIGNATURE

Please Sign: As a legal parent/caregiver to the performer, I agree to conditions and have explained all the rules, code of conduct, and responsibilities to my child for being part of the show.

THANK YOU FOR YOUR COOPERATION AND UNDERSTANDING