SCAPA registration form

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If you have any issues with this form please email info@scapa.biz for an offline version.

Email *

Record my email address with my response

Student Name *

Student Age and D.O.B. *

Name of parent/Guardian *

Parent/Guardian Email *

Emergency contact number *

Please list any allergies, medical (inc any medication and consent to administer), physical or learning needs:

I understand that fees are paid termly (details on the website), our BACS details:

Name: South Coast Academy of Performing Arts

Acc no: 26175282

Sort code 54/21/30

Yes

Required

How did you hear about us? *

This information will remain confidential in line with SCAPA’s GDPR policy and only shared amongst staff where necessary to best support the participant. A copy of the GDPR policy can be found on our website. Please indicate you agree to us using your data in this way:

Yes

I grant permission to South Coast Academy of Performing Arts to take photographs of the participant named above to be used for appropriate use (publicity, including social media, copyright purposes, illustration, advertising and web content)

Yes

A copy of your responses will be emailed to .

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