(c) An application for a child performer permit shall be made on a form prescribed by the department and shall contain such matters as the department may deem to be necessary, including the following:
- (i) the true and stage name and the age of the child, and the name and address of his parent or guardian;
- (ii) the written consent of the parent or guardian;
- (iii) the evidence provided by the child performer each semester to the department demonstrating that such child is maintaining satisfactory academic performance as determined by the child performer's school of enrollment pursuant to state law.