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 06-09-25 to 20-12-25 (15 Weeks).

(Closed on 01/11/25 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 £150 (Total)2x Hour £15pw £225 (Total) (£7.50 per hour)3x Hour £18pw £270 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
MEDICAL DECLARATION.

Please complete in full.

All information provided will be strictly confidential, and available on request.
Medical Declaration. Does Your Child Have:

AsthmaAllergiesSkin ConditionHearing ImpairmentVisual ImpairmentLearning DisabilityPhysical DisabilityOtherNo medical Issues
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