I, the undersigned, am the parent or legal guardian of:

Child's Full Name:

I give my permission for my child to participate in the acting classes offered by Elizabeth Lavender.

I understand that the class involves physical movement, performance exercises, and participation in recorded or live acting activities. I acknowledge that all reasonable precautions will be taken to ensure a safe and supportive environment.

I release and hold harmless the instructor and venue from any liability resulting from participation in this program, except in cases of gross negligence.

Parent/Guardian Name:

Signature:

Date:

Emergency Contact Number:

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