Home
Musical Theatre
Annie Jr
Hairspray
Dance Classes
BSA Open Dance Studio
LAMDA
Show Reviews
Showcase 2023
Wizard of Oz Review
Fame The Musical Review
Nativity the Musical Review
Matilda The Musical Review
Grease The Musical Review
We Will Rock You Review
Little Mermaid Review
BSA Team
Contact Us
✕
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Applicants Full Name/Members Full Name
*
Parent/Guardians Full Name
*
Applicant/Members Date of Birth
*
Does your child have any of the following?
Asthma
Any Allergies
Any Skin Conditions
Hearing Impairment
Visual Impairment
Any Learning Disability
Any Physical Disability
Any Medical Conditions
Taking any regular Medication(s)
Been to see or had a referral to a hospital consultant in the last 6 months?
You can select multiple options
If Yes to any of the above please give details here. If No, please state No
I confirm that I have parental responsibility for this child
*As defined within section 3 of the Children Act 1989, ‘parental responsibility’ means all of the rights, duties, powers, responsibilities and authority which by law a parent of a child has in relation to the child and his property.
Please click to give permission to BSMTC Juniors Ltd permission to take photographs and/or video of your child
Yes
No
Right to use images
Yes
No
I grant Bishops Stortford Academy of Performing Arts full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group’s aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications
Your Name
*
First
Last
Print today's date
*
Parent/Guardian Home Address
*
Parent/Guardian Email
*
Parent/Guardian Phone Number
*
Doctors Name & Address
*
Doctors Phone Number
*
How did you hear about us?
Facebook
Instagram
X
TikTok
South Mill Arts
Newspaper
Leaflet
Word of Mouth
Recommendation
Other
Any Additional Information
child Yes Your
Checkboxes
I agree to the Membership Terms & Conditions
Terms and Conditions. We want you to know how our service works and why and how we handle your data. Please state that you have read and agreed to these terms and conditions.
Contact Permission
Post
Email
Phone
SMS
Whatsapp
Occasionally we would like to send you newsletters and offers and the latest info from Bishops Stortford Academy of Performing Arts by Email, post, SMS and other electronic means. We take your privacy very seriously and will only use your personal information to administer your account and to provide the services you have requested from us. If you consent to us contacting you for this purpose please tick to say how you would like us to contact you.
By using this form you agree with the storage and handling of your data by this website.
Submit
Spread the love