It can be very helpful for teachers and instructors to know of any behavioural, sensory, or learning disorders (i.e. ADHD, Anxiety Disorders, Autism Spectrum Disorder, Learning Disabilities, etc). All personal information is kept confidential at Omnes Arts Circle, and only shared with the relevant teachers and instructors.

I give permission for the above named student to “star” in videos and/or photos (individual or group) that may be posted on Facebook, Omnes Arts Circle’s website, YouTube, other forms of social media, online or print newspapers, and/or used for teaching, promotional, and advertising material.
I give permission for the above named student’s name to be released with these videos and/or photos.
I have read this form in its entirety and give permission for this student for the items above. I recognize all risks associated with the use of photo, video, and online media, and release the Teachers and Omnes Arts Circle of any liability associated with the use of media in the manners for which I have given permission.
I understand that ANY photos, videos and/or articles that appear in the newspaper, on the website, and in teaching, promotional and advertising material regarding this student may be posted or referred to online and do not require my specific permission.
*Permission may be granted or revoked at any time by contacting Omnes Arts Circle directly and in writing.

Please include all relevant experience here, pertaining to your registration. Dance students may include the highest level achieved for each class, if applicable. If the student has no previous experience, please type 'Beginner'.
By clicking 'Submit', you are acknowledging that you have read and agree to the following: