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Consent Form for “Will Play 4 Food ’26” Play-a-thon

Performer Name

Teacher Name

Who is signing this form?

I am a student 18 or older

I am a parent/guardian

By adding your signature below, you agree to allow your child to appear on the live-streamed MTAC Marin WILL PLAY 4 FOOD Play-a-thon performance on November 15, 2026. This event will be presented on the Marin branch YouTube channel, which is in the public domain, and a recording will be posted on the MTAC Marin branch website. You also agree to allow your child's first name to be announced before they perform.

Please complete this form by November 14, 2026.

We must receive a completed form in order to include your child on the program for our event. Thank you for your participation!

Consent Form for “Will Play 4 Food ’26” Play-a-thon

Performer Name

Teacher Name

Who is signing this form?

Optional: If you'd like a copy of this consent form please provide your email address below.