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LIVERPOOL EMPIRE 2025 CONSENT FORM

All WAPA Students performing in the
"SMILE ITS CHRISTMAS SHOW"
at the LIVERPOOL EMPIRE on 16th NOVEMBER 2025
are required to fill in the form below.

Doing so provides the essential consent required by
WAPA, SMILE PRODUCTIONS & LIVERPOOL COUNCIL
Please complete & return ASAP

This event is for JUNIOR & SENIOR WAPA Students only
Sorry not Little WAPA - Their time will come !!

Show Consent
As Parent/ Guardian of the Student named on this form, I give my consent for them to perform in the Smile Productions Show @ the Liverpool Empire, 16th November 2025
Health Consent
I can confirm that the person named on this form is Fit & Well to perform in the Smile Productions Show @ the Liverpool Empire, 16th November 2025
Photo & Video Consent
I am happy for the Student named on this form to be Photographed & Video recorded at the Smile Productions Show @ the Liverpool Empire, 16th November 2025

NOTE - Photographs & Video may be used as promotional media by WAPA & SMILE PRODUCTIONS

Approx number of tickets required - 2 Minimum

THIS IS FOR WAPA USE ONLY... Tickets should be purchased at the LIVERPOOL EMPIRE BOX OFFICE

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