BC Performing Arts Registration Form

BC Student Registration Form

Fill out the form carefully for registration & payment details.
Student Name*

First NameMiddle NameLast Name
2nd Student Name

First NameMiddle NameLast Name
Student Birth Date*

DayMonthYear
Age.*
Students age at registration.
2nd Student Birth Date

DayMonthYear
Age
2nd students age at registration
Student Gender
2nd Student Gender
School Attended*
2nd School Attended (If applicable)
Parent or Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Parent E-mail*
example@example.com
Parent Telephone Number*
Format: (00000) 000000.
Secondary Contact Name.*
Secondary Contact Telephone Number*
Format: (00000) 000000.
Please tell us the date you wish your child to start.*

DayMonthYear
We are open every Saturday (Term Time)
Pricing: Term Time 18-04-26 to 18-07-26 (13 Weeks).

(Closed on 30/05/26 for half Term)

Please select the desired box for 1 or 2 children (3 or more, contact us for details) and also for the amount of hours you would like. (2nd child receives a 15% discount)

If your child starts mid term the prices will be pro-rata for the remaining weeks.

Payment Plans are available via prior arrangement. Please contact us.
1x Hour £10pw £110 (Total)2x Hour £15pw £165 (Total) (£7.50 per hour)3x Hour £18pw £198 per term (£6 per hour)
1x Hour £18.50pw (£9.25 each per hour)2x Hour £27.75pw (£6.93 each per hour)3x Hour £33.30pw (£5.55 each per hour)
30mins. From £25 (Subject to Availability)
Direct Debit (Link Will Be Sent Separately)Term Payment Via BACS (Details Below)
BACS PAYMENT DETAILS

BC Performing Arts

04-06-05

28250804
YesNo
YesNo
YesNo
MEDICAL DECLARATION.

Please complete in full.

All information provided will be strictly confidential, and available on request.
No medical IssuesMedical symptoms we need to know
Is your child taking regular medication?Have they seen a medical consultant in the last 6 months
Any Additional Comments
THIS INFORMATION WILL BE HELD BY BC PERFORMING ARTS.

A COPY OF THIS INFORMATION WILL BE PROVIDED TO THE PARENT OR GUARDIAN ON REQUEST.
Tel: 07769 887785

Email: info@bcperformingarts.co.uk

www.bcperformingarts.co.uk
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BC Student Registration Form