Street performance licence parental consent form

This form is to be filled out by a parent or guardian if performer is under the age of 16, in conjunction with Waverley Council’s Street performance application form.

Child's date of birth *

Permission *


Privacy notice: Waverley Council (55 Spring Street, Bondi Junction NSW 2022) is collecting and holding your personal information for the purpose of processing your request or application. The intended recipients of your personal information are relevant Council officers only. We will not disclose your personal information to anybody else unless you have given consent, or we are authorised or required to do so by law. If you do not provide your personal information, we may be unable to process your request or application. To access or correct your personal information, please contact info@waverley.nsw.gov.au or call 9083 8000. For further details on how Council manages your personal information, please refer to the Privacy Management Plan on our website: waverley.nsw.gov.au/privacy