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Medical & Consent
Form
Parent/Carer's Full Name
Child's Full Name
Emergency contact 1 (Name/Relationship)
Emergency contact 2 (Name/Relationship)
Email
Child's Date of Birth
Emergency contact phone number
Emergency contact phone number 2
List of any medical problems
I am aware that my child will be photographed, filmed and featured in a music video all of which can be released on Show Vidz social media platforms. I consent to this (Yes/No)
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