Dance-Kids
Consent Form
Kids Gallery

All picture entries for the Kids Gallery must be accompanied
by this consent form, completed by a parent or guardian.
Entries that are submitted without this will not be eligible.
This form can be completed online and then printed off, or by printing out the page
and filling it in by hand. Don't forget to sign it!

Please send, together with the picture entry to:
Dance-Kids Gallery, ISTD, Imperial House, 22/26 Paul Street , London EC2A 4QE, England
Forname:
Surname:
Address:
City
Post Code/
Zip Code:
Country:
Daytime Telephone:
Email (optional):
Signature:
Date:
How did you find out about this site?


By signing this form I hereby give consent that the enclosed entry may be published on the website www.dance-kids.org

I agree to the stated Terms & Conditions as outlined on www.dance-kids.org. I also consent that the following details may be used to accompany the entry submitted by the child below.

Forename:
Surname (optional):
Age:
Town/City (optional):
Country:
Picture title:
If you have any trouble printing this page out, please email us at dance-kids@istd.org and we will send you a form in the post.