CONSENT FORM Music Workshop – bp pulse live Performance Student Name * First Name Last Name Email * Emergency Contact Number (###) ### #### Second Emergency Contact (###) ### #### Parent / Carer Name First Name Last Name Child Phone Number (if applicable) (###) ### #### TRAVEL & SUPERVISION CONSENT I give permission for my child to travel to and from the NEC Birmingham on Wednesday 17th December 2025 under the supervision of Music Workshop staff and licensed chaperones. Yes No MEDICAL INFORMATION Please give details of any medical conditions, allergies, or medications that Music Workshop should be aware of: PHOTOGRAPHY & MEDIA CONSENT Photographs and video footage may be taken during the event for promotional and documentation purposes. These may appear on Music Workshop’s website, social media, or promotional materials. Please indicate your preferences: I give permission for my child to be included in photographs and video recordings.. I give permission for my child tI do not give permission for my child to be included in photographs or video recordings. PARENTAL / GUARDIAN DECLARATION I confirm that I give permission for my child to take part in the Music Workshop performance at bp pulse Live on 17th December 2025. I aknowledge and give permission that they will be driven to Birmingham by Music Workshop and returned to Bath at the pre-arranged time (unless alternative arrangements have been made) I do not give consent for my child to go on this trip Thank you!
