Dance Recital Permission Slip

A dance recital permission slip — studio and recital details, dancer and class, call time, parent/guardian permission, photo/video release (opt-in), emergency medical authorization, authorized pickup, and signature.

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Center Stage Dance Academy
DANCE RECITAL PERMISSION SLIP

Recital: Spring Showcase 2026     Date: June 13, 2026
Venue: Lincoln High Auditorium, 200 Oak St
Call 4:00 PM (backstage); show 6:00 PM. Dancers stay backstage until released.

Dancer: Riley Morgan     Class/routine(s): Junior Jazz & Intermediate Ballet (Acts 1 and 3)

========================================================
PERMISSION
========================================================
I, Alex Morgan, parent/guardian of the dancer above, give
permission for my child to participate in the recital named above, including
backstage and rehearsal time. I will ensure my child arrives by call time and
is picked up promptly afterward.

========================================================
PHOTO / VIDEO RELEASE
========================================================
I grant permission for the studio to photograph/record the recital and use the images/video for studio promotional and informational purposes.

========================================================
EMERGENCY MEDICAL
========================================================
Medical notes: No allergies; mild asthma (inhaler in dance bag).
If I cannot be reached, I authorize studio staff to obtain emergency medical
care for my child; I am responsible for the cost.

========================================================
PICKUP
========================================================
Released only to Alex Morgan or Sam Morgan (photo ID).

I understand dance involves physical activity with inherent risks and that this
slip is not a waiver of claims for gross negligence.

Parent/Guardian: _______________________________   Date: ______________
                 Alex Morgan
Contact: +1 503 555 0192 · alex.morgan@example.com

About this template

A recital permission slip gathers the handful of parent authorizations a studio needs to put a child on stage safely. The **permission** itself covers participation including backstage and rehearsal time, with the practical reminder that the dancer must arrive by **call time** and be picked up promptly. The **photo/video release** should be **opt-in** for a child — many families are fine with it, but some are not, so make it a clear yes/no and honor "no." The **emergency medical** authorization (allergies/conditions plus consent to obtain care if the parent can't be reached) is the safety essential, and the **authorized pickup** line — only named adults, photo ID — prevents the most serious incident a studio can have. Keep the **call time, venue, and routines** on the slip so it doubles as the family's reminder. Two notes: a parent must sign for a minor, and this slip is **not a full liability waiver** — a parent's waiver of a child's own claims is limited in many states and never covers gross negligence, so it's worded modestly; pair it with the studio's registration and any waiver reviewed by counsel, and keep family information confidential.

When to use it

  • Getting parent permission for a child's dance recital.
  • Collecting a photo/video release (opt-in) for performers.
  • Recording emergency medical info and authorized pickup.
  • Communicating call time, venue, and routines.

What to include

  • Studio, recital, date, venue, and call time.
  • Dancer and class/routine(s).
  • Parent permission to participate.
  • Photo/video release (opt-in) and emergency medical authorization.
  • Authorized pickup and parent signature.

Frequently asked

For a child, yes. Make it a clear yes/no choice and honor a "no" — some families decline image use for privacy or safety reasons. An opt-in release is more respectful and defensible than assuming consent.
⚠ Legal disclaimer. This dance recital permission slip is a general template, not legal advice. A parent/guardian must sign for a minor; a photo/video release for a child should be opt-in; and this slip is not a substitute for a liability waiver (a parent's waiver of a minor's claims is limited in many states and never covers gross negligence). Pair it with your studio's registration and waiver, keep family information confidential, and have forms reviewed by a licensed attorney.
Jurisdiction: General — a parent/guardian permission and media-release slip for a child's dance recital. A parent must sign for a minor; photo/video release for a child should be opt-in. Not a liability waiver substitute (waivers of a minor's claims are limited in many states). Keep family information confidential.
Last reviewed: 2026-05
Reviewed by the ScoutMyTool editorial team, Founder — consult a licensed attorney for binding use.

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