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Application Form - PDF or Print
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Debut School of Arts
STUDENT APPLICATION FORM
Application for Admission
Debut School of Arts
25 Crossways
Shenfield
Essex CM15 8QX
www.debutschool.co.uk
Tel: 01277 260771
Please complete and return to Rachel Roche. |
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STUDENT INFORMATION |
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First Name
Surname
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Male or Female (Please delete as appropriate) |
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Address
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...................... |
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Telephone Number
Date of Birth
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................................... |
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If brothers or sisters are also enrolling please give names :
..
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Siblings will need a separate form to enroll. Second child to enroll will receive a 10% discount. |
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Nationality
Current School
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PARENT INFORMATION |
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First Name
Surname
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............................ |
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Title
.. |
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Relationship to child Mother / Father / Guardian (please delete as appropriate) |
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Address (only if different from above)
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.................. |
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Home Telephone No
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Mobile
Email address
....... |
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EMERGENCY CONTACT (please give the name of a relative or friend) |
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First Name
Surname
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Telephone Number
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HEALTH |
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Are there any health/dietary issues which you feel Debut should be made aware?
(NB orange squash will be provided in the break unless otherwise instructed)
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INTERESTS |
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Please state current and past arts training in acting, singing and dance, if applicable
ACTING EXPERIENCE
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SINGING EXPERIENCE
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DANCE EXPERIENCE
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OTHER INTERESTS/HOBBIES (please also include here any instruments played)
T-Shirt size:
Size in years:..................................................................... |
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DECLARATION to be completed by Parent or Guardian |
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I
am the Parent / Legal Guardian (please delete as applicable) of
.. and I declare that the information I have given in this form is correct. I wish to apply for a place for the above named child at The Debut School of Arts.
T-Shirt size: (see look the part for t-shirt costs)
Size in years:...............................................................................................
I understand that Debut has limited places and that if the school is currently full I will be contacted with regard to the waiting list. I understand that Debut reserves the right to discontinue pupils training if they feel the pupil is a disruptive influence to the group.
I agree to give a half terms notice (in writing) of my childs intention to leave Debut to enable his/her place to be filled
Please sign
.................
And print
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DATE
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Please return your completed form and cheque to Mrs Rachel Roche, Debut School of Arts, 25 Crossways, Shenfield, Essex, CM15 8QX. The cheque should be made payable to "Mrs Rachel Roche" and will cover the first or half terms fees. Debut will contact you to confirm your place. |
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Application Form 
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Thursday, 09 September 2010 
