1. Templates
  2. Cinema & Film
  3. Casting & Talent
  4. Child Performer & Chaperone Consent Form

Child Performer & Chaperone Consent Form

A child performer and chaperone consent template — capture guardian consent and chaperone details, plus license and medical needs, for a child.

Description

Working with child performers carries strict responsibilities, and the paperwork protects the child, the production and you. This child performer and chaperone consent form captures guardian consent and the details a production needs to work with a child safely and legally.

It captures the child’s name and date of birth, the production and role, and whether the child holds a performance license where required. It records any medical conditions, allergies or needs, the parent or guardian’s details, the chaperone’s name and license number, and guardian consent.

Use it before a child performer works on any production. A complete, consented record shows the right permissions and safeguarding are in place. Customize the fields to fit your requirements, add your branding, and embed it on your site or share a link in minutes.

Form fields

Everything the Child Performer & Chaperone Consent Form above collects — 11 fields, so you can see exactly what it captures before you make it your own.

Child Performer Consent

  • Child's full name

    Short Answer Icon
    Short Answer
  • Child's date of birth

    Date Icon
    Date
  • Production title

    Short Answer Icon
    Short Answer
  • Role

    Short Answer Icon
    Short Answer
  • Does the child have a performance license (if required)?

    Yes/No Icon
    Yes/No
  • Any medical conditions, allergies or needs?

    Long Answer Icon
    Long Answer
  • Parent / guardian name

    Name Icon
    Name
  • Contact number

    Telephone Icon
    Telephone
  • Email address

    Email Icon
    Email
  • Chaperone name & license number

    Short Answer Icon
    Short Answer
  • Guardian consent

    Consent Icon
    Consent
Use Template Arrow Right Icon

Template FAQs

Common questions about the Child Performer & Chaperone Consent Form — what it captures, when to use it, and how to make it your own.

What is a child performer consent form?

A child performer and chaperone consent form captures a guardian’s consent and the key details for a child working on a production — their license, medical needs and chaperone. It documents that the right permissions and safeguarding are in place before the child performs.

What should a child performer consent form include?

This form captures the child’s name and date of birth, the production and role, whether they hold a performance license, any medical conditions, allergies or needs, the parent or guardian’s details, the chaperone’s name and license number, and guardian consent.

When should you complete a child performer consent form?

Before the child works on the production, alongside any license the law requires. Getting consent, the license and chaperone details in place beforehand is essential — a child generally cannot perform without the correct permissions and supervision arranged.

Who completes a child performer consent form?

The child’s parent or guardian, providing consent and details, with the production recording the chaperone. The form captures both sides, so there’s a clear record that the guardian agreed and a licensed chaperone is in place.

Why do child performers need a license and chaperone?

Because laws protecting child performers require it for many productions — a performance license and a registered chaperone safeguard the child’s welfare, education and hours. Capturing both on the consent form shows the production is meeting those legal duties.

Is this child performer consent template free?

Yes, completely free. Add or remove fields to fit your requirements, and restyle it to your brand, then embed it on your site or share a link — no coding needed. A free Fun Forms account lets you collect signed consent. Always follow the child-performance rules in your region.