First and Last Name
I consent for Barking Gecko Theatre, its sponsors and partners, to use images/ video footage of my child/ me for the purpose of use in any Barking Gecko publication (all media, including Internet), exhibitions, marketing, publicity and documentation. I understand that this may include my child’s / my first name, the place and date of the image for publication without compensation to my child/ me.
Please indicate whether you would prefer to pay by electronic fund transfer or by credit card