TAPA Application form

Principal:
Lesley Lofthouse B.A. (Hons), Dip C G, P G C E.

The Nook, Oakwood, Hexham,
Northumberland, NE46 4LQ
Tel: 01434 601049
info@tapa.uk.com
Students Full Name:  
 
Date of Birth:  
   
Address:  
 
Email Address:  
   
Telephone Number:
(including area code) 		 
   
Parents/Guardians Names:  
   
Address:
 (if different from above)		  
   
Emergency Contact:
(names/numbers) 		 
   
Health Conditions TAPA Teachers should be aware of:  
   
Medication Requirements:  
     
I do do not   consent for basic First Aid to be administered
   
Eating/Drinking Restrictions:  
   
Shoe size for Jazz shoes:  
   
How will your child travel home after sessions:  
   
I do do not   consent for photographs taken by TAPA teachers to be published on the TAPA web site
Parent/Guardian signature: