First name (required)

Surname (required)

Date of birth | dd/mm/yyyy | (required)

Name of Parent or Guardian

Address 1 (required)

Address 2

Town (required)

Postcode (required)

Telephone (required)

Your Email (required)

Which course are you interested in?

 Acting Dance Singing Musical theatre

Current academic school

Please tell us about any other qualifications or achievements below:

Do you have any health issues or disabilities you wish to share with us? If so please complete the field below: