Student's Name...........................................................................................

Date of Birth:....................................................

Address...............................................................................................................................................................................................

Postcode.............................................................................................................................................................................................

Telephone Number (inc STD) Home......................................................

Work:.......................Mobile:...............................

E-mail Address..................................................................................................................................................................................

School Attended...............................................................................................................................................................................

Parent's/Guardian's Names..............................................................................................................................................................

Parent's/Guardian's Occupations...................................................................................................................................................

Any Illness/Disability/Medication...............................................................................................................................................

Previous Experience........................................................................................................................................................................

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I wish to enrol my child in (please tick as appropriate):
Performing Arts [ m ] Cost £26.50 per month m Drama [ m ] Cost £26.50 per month
Singing - Group [ m ] Cost £26.50 per month m Singing - Private [ m ] Cost £60.00 per month
Piano - Private [ m ] Cost £55.00 per month

***If you would like your child to be included in our casting file, please enclose two identical, recent, clear head and shoulders photographs***

Terms and Conditions (please read carefully)
Fees are calculated so that 12 equal monthly payments are payable. The school operates in Term Time only. Fees MUST be paid by the due date which is 7 days from the invoice date. Any fees received after the due date will be subject to a late payment penalty of £3 per month. One FULL calendar month's written notice is required if you wish to withdraw your child from the school. Payment of fees must still be made if your child is absent, as the place is retained until further notice is received by the school.

I confirm I have read and agree to the Terms and Conditions of Début Theatre School of Performing Arts.

Parent's/Guardians Names..............................................................................................................................................................

Parent's/Guardians Signatures.......................................................................................................................................................