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Statiel8 E-Leaming Gonsent Form Name of Member: Zilia Camille) Date of Birth: /2/07/ 2002. Due to recent events surrounding COVID-19, Studio 18 will be moving its sessions online. To ensure the safely of everyone we would like to make this experience as comfortable as possible. The online sessions will be comprised of video and audio calls between Studio 18 mentors/workshop leaders/staff and Studio 18 members. @) Do you consent to communication via e-learning platforms, with the use of video calls between your child and workshop leaders, staff, and mentors at Studio 18? Yes/§ (please delete as applicable) b) Do you consent to communication via e-learning platforms, with the use of audio calls between your child and workshop leaders, staff, and mentors at Studio 182 Yesib§ (please delete as applicable) ©) Do you consent to photos/screenshots of online sessions to be released on our social media platforms? YesiDG (please delete as applicable) 4) Do you consent to videos/recordings of online sessions to be released on our social media platforms? Yesif%~ (please delete as applicable) Name of Parent/Guardian: JOAN CAMZgéLE RI (Only applicable in the event that the member is below the age of 18) Signature: Date: Je 23:3) 202D ed a

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