Yarram Concert — Leaps and Bounds Dance School

Yarram concert participation form 2021

Student name

First Name

Last Name

Number of classes (participation fee of $28 per class to be invoiced)

Video USB order - please specify quantity if you would like to order the concert USB ($46 per USB)

I give permission for my child/ren to participate in the 2021 concert.

Yes

I give permission for my child/ren to be photographed by Leaps and Bounds on dress rehearsal and concert day and understand that photographs may be used for promotional purposes.

Yes

Parent name