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*
Secondary Contact Name.*
Secondary Contact Telephone Number*
Please tell us the date you wish your child to start.

DayMonthYear
We are open every Saturday (Term Time)
Pricing: Term Time 11/01/25 - 05/04/25 (12 Weeks).

(Closed on 22/02/25 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.
Price: 1x Child Please Tick one box as required.

1x Hour £10pw £120 (Total)2x Hour £15pw £180 (Total) (£7.50 per hour)3x Hour £18pw £212 per term (£6 per hour)
Price: 2x Children (Includes 15% Discount) Please Tick one box as required.

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)
Private Vocal Coaching (1-2-1) (Subject To Availability)

30mins. £20

BC Performing Arts Term Fees.

GBP

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Permission for BC Performing Arts to seek medical advice and treatment in an emergency.*

YesNo
Permission for child to leave BC Performing Arts after session finishes. (10yrs +)

YesNo
Permission for photographs and/or videos to be taken and published on social media and website by BC Performing Arts for marketing purposes*

YesNo
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