Child Pick-Up Form

Dancers must be signed in and out by a parent at all rehearsals and performances. Please list below names and information of anyone picking up your child from any rehearsals and/or performances other than the legal guardian(s) of the child.

Dancer's Name

First Name

Last Name

Dancer will be picked up from:

Name of person picking up

First Name

Last Name

Phone of person picking up

(###)

###

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Parent/Guardian Signature