Contact
Translate
Donate
Home
Exhibitions
Current Exhibitions
Upcoming Exhibitions
Exhibition Submissions
Past Exhibitions
Programs
Children & Youth
Adults
Camp
Birthday Parties
Schools & Groups
About Us
Our Story
Staff
Support Us
Donate
Campaigns
Our Supporters
Join Us
Current Opportunities
Become a Volunteer
Subscribe
Events
Beyond Craft
Street Art Seniors of Stouffville
Parent Consent Form – Life-Drawing Workshop (Ages 18+)
Home
/
Parent Consent Form – Life-Drawing Workshop (Ages 18+)
Parent Consent Form – Life-Drawing Workshop (Ages 18+)
Child's Name:
*
First
Last
Child Age 16 – 17
*
Yes
Parent / Guardian Name:
*
First
Last
Does your child suffer from any medical conditions/allergies that the program should be aware of (including any current medication):
Please provide details of medication that must be administered:
Emergency contact details (If different from above):
First
Last
Phone Number:
Relationship to child:
CONSENT (please read carefully):
*
I agree to my child taking part in the activities of the program.
I understand that there will be a nude model that my child will see.
I agree that my child is to participate with respect and failure to do so could mean being asked to leave the class without reimbursement.
I confirm to the best of my knowledge that my child does not suffer from any medical condition other than those listed above.
I understand that my child and their artwork may be photographed and filmed for Latcham Art Centre’s marketing materials.
I agree to the privacy policy.
Signature
*
Date
*
MM slash DD slash YYYY