Parent or legal guardian's address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Permission to pick up child person 1 *

First Name

Last Name

Pick up child person 2 *

First Name

Last Name

Pick up child person 3 *

First Name

Last Name

First child's name *

First Name

Last Name

Second child's name (if applicable)

First Name

Last Name

Third child's name (if applicable)

First Name

Last Name

Fourth child's name (if applicable)

First Name

Last Name

By typing your name below (parent or legal guardian), I agree with all the above information along with the Studio Policies. *

First Name

Last Name

Date *

MM

DD

YYYY