Consent form

To register for filmed or photographed events, please take the time to fill out the information below.

Dancer Full Name

Guardian Full Name

Email

Phone

Medical info

I agree to the terms & conditions of Clare Connolly Dance and Ballet School. I agree to give consent for the named dancer, to be filmed and photograhed for the purpose of the documenatry and for publication by Clare Connolly Dance, Draiocht and associated film marketing. Filming will take place on October 28th 2021.

Dancer date of birth

Submit