STUDENT INFORMATION FORM
 
LEAVING AUTHORISATION: I hereby authorize my child to leave the theatre alone at the end of the day/class
MEDICAL INFORMATION: Does your child have any of the following medical conditions: diabetes, asthma, hyperventilaton, panic, epilepsy, allergies?
MEDICAL INFORMATION: Does your child need medication on a regular basis or carry with them medical devices (e.g. and Epipen)?
MEDICAL INFORMATION: Are there any exercises or activities that your child cannot participate in?
MEDICAL INFORMATION: Do you authorise The Montreal Children's Theatre to adminsiter the following over the counter medication to your child if necessary?
MEDICAL INFORMATION: Does your child have any social, emotional or learning needs that The Montreal Children's Theatre should know about? Any informaton is helpful in allowing us to plan our activities, our group wprk and our staffing.

Info received