Junior Wac Arts Application Form

All fields marked with a * must be completed

Name*

First Last

Address*

Street Address City Borough Postcode

Date of Birth*

Age

Gender

Ethnicity*

Email*

Home Telephone

Mobile

School you are currently attending*

Parent/Carers Name

First Last

Parent/Carers Email (if different from above)

CLASSES YOU WISH TO ATTEND

Please first tick your age range below and then tick the boxes next to the classes you would like to attend.

Age

5-6 year olds
7-8 year olds
9-11 year olds
12-14 year olds

Classes for 5-6 year olds

Ballet
Drama
Movement
Percussion

Please list order of preference if any

Classes for 7-8 year olds

Ballet
Drama
Movement
Percussion

Please list order of preference if any

Classes for 9-11 year olds

Ballet
Drama
Movement
Music
Singing

Please list order of preference if any

Classes for 12-14 year olds

Ballet
Drama
Dance
Music
Singing

Please list order of preference if any

Media Classes and 1-to-1 (for ages 10 and above only)

Video
Digital Animation
Music Technology
Saxophone
Guitar
Drums
Keyboards

Please indicate your level of experience in these subjects, if any, either in school or elsewhere. Tell us how confident you feel in these subjects.

Do you play an instrument?

As we are a performing arts and media college we often use photographs, video footage for publicity and/or screening purposes. I consent for my photographs and video footage to be used for publicity purposes (please tick).*

Yes
No

All Wac Arts records are stored under reasonable security and can only be accessed by Wac Arts staff. Wac Arts is registered with the information commissioner under the 1998 Data Protection Act. From time to time we may contact you regarding our programme or courses. We will not pass on personal information to anybody else.

Equal Opportunities Monitoring

As we are required by our funders to obtain the following information please assist us by filling out the form below. None of this information impacts on your eligibility on the course. Wac Arts welcomes children with special educational needs and are able to provide the necessary support for every child to flourish.

Do you have any physical limitations or medical conditions?

Yes
No

If yes then please give details

How did you hear about Wac Arts?*

Apply Online for Junior Wac Arts

Junior Wac Arts Application Form

CLASSES YOU WISH TO ATTEND

Equal Opportunities Monitoring