BRENNAN ACADEMY OF PERFORMING ARTS & AGENCY ENROLMENT FORM
Please answer all of the following questions. A member of our team will be in touch via email/phone to confirm your child's enrolment and to discuss any queries you may have. Acceptance of our terms is a requirement to proceed with registration for a drama class placement. Agency representation is optional and subject to the agreement of Brennan Academy & Agency management.

All information will be treated as strictly confidential and in line with our privacy policy. To view our Academy/Agency terms & conditions and privacy policy please click here: www.brennanperformingarts.com/privacypolicy.html

Please use a separate form for each child being registered.

STUDENT/CHILD INFORMATION
Please provide details of the child who is being registered for a place at Brennan Academy of Performing Arts.
Child's Full Name: *
Your answer
Date of Birth: *
Please enter the child's exact date of birth below (including the year) and their present age.
MM
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Child's Age *
Your answer
Which class venue do you wish your child to attend? *
Please select your preferred venue, if you change your mind we can discuss this before the Term begins and please note that some classes may have waiting list.
PARENT/GUARDIAN INFO
Please fill in your own details as requested in this section.
Parent/Guardian's Full Name *
Your answer
Home Address: *
Your answer
Daytime Phone Number: *
Your answer
Mobile Phone Number: *
Your answer
Email Address: *
Your answer
EMERGENCY/ALTERNATIVE CONTACT INFORMATION
Please provide contact details including the name and phone number of a trusted friend or relative that we can contact in case of an emergency.
Emergency name: *
(Of emergency/alternative contact)
Your answer
Phone number: *
(Of emergency/alternative contact)
Your answer
PERMISSION TO LEAVE PREMISES AFTER CLASS
I the parent/guardian of the child named above confirm that he/she has my permission to leave the academy premises unaccompanied each day.
(You must tick the ‘YES’ box even if you wish for your child to be given permission to leave the premises and meet you in the car-park/school grounds area).
If they do not have your permission to leave the premises unaccompanied please tick NO.
Leaving Class *
Details of anyone other than yourself who is permitted to collect your child from the school:
Please provide their name(s) below:
Name:
Your answer
Relationship to child:
(eg Grandparent/Uncle/Aunt/family friend/older sibling etc)
Your answer
OTHER INFORMATION
Education, health and wellbeing questions
Please give details of any arts training or experience to date (school productions etc):
Your answer
Is there any reason why your child should not participate in exercise? *
Your answer
Please state any recent operation/chronic illness or allergy:
Your answer
Please state if your child is currently taking medication:
Your answer
Parent/Guardian will be notified by BAPA staff should there be any injury/accident in class. Please remember to notify BAPA staff of any illness or allergies.
In case of Epilepsy/Diabetes/Severe Allergy, please inform BAPA staff of emergency treatment to be carried out and supply medication with clear guidelines on when to administer.
Do you consent to BAPA staff providing First Aid treatment and/or Emergency treatment in class if required? *
Do you consent to the use of: *
Required
Please state any other information you feel we should be aware of not mentioned in the questions above:
Your answer
ACCEPTANCE OF TERMS & CONDITIONS
By checking the 'YES' tick box below, I declare to the best of my knowledge that the information given above is correct and I have no reason why my child should not participate in classes with Brennan Academy. I understand it is my obligation to notify the Academy of any change in circumstance relating to my child’s health and to update Brennan Academy with any changes to contact information (phone number, change of address etc). I acknowledge and understand all of the terms and conditions of Brennan Academy as set out herein and as detailed on their website:
Consent *
Required
Please enter the present date in acknowledgement of the date these terms and conditions have been accepted/declined:
DATE *
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CONSENTS
We need your consent on all of the following permissions in order to comply with General Data Protection Regulation.

Failure to give consent could result in your child not being able to take part in classes or participate in Term 3 as we do not have the facility to block children out of Main Show Video / Photographs.

I give permission for my child to be photographed at class / BAPA outings, Main Show, festivals etc in a solo or group capacity for the purpose of advertising (newspaper articles etc), sharing on social media, placing on school website and stored at BAPA offices *
I give permission for my child to be video recorded at class in a solo or group capacity for the purpose of sharing on social media, placing on school website, advertising (newspaper articles etc) and stored at BAPA offices *
I give permission for my child to be video recorded as part of Main Show Performance for the purpose of using this video footage to create a Show DVD and or to edit video footage for the purpose of creating a smaller video with highlights from Show which could then be placed on Social Media / School Website / To Share With Parents *
AGENCY & REPRESENTATION
Is your child presently on the books of any other performing arts or management agency? *
If yes, please give details:
Your answer
Representation by Brennan Agency
Please read Agency Information and terms as posted on our website before ticking YES if you wish to have your child represented by the Brennan Agency. If you select YES, you will be taken to the next section to give further consent to specific requirements for representation. If you select NO, this form will be completed and ready to submit.
Do you wish to have your child represented by Brennan Agency? *
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