Application Form

All courses run by Julia Renault at her Art Studio, St John’s Recreation Centre, St John For course details please see the Courses page. (*required field)

Name of person applying

If you are applying for another adult, you must state this, and must be prepared to forward all correspondence to that individual. Please note all courses are for adults only January to March 2024.

Name of student

First Name

Last Name

Email Address

Mobile Number

Address (inc. Postcode)

Address where the student lives, if the applicant has a different address this should also be supplied and made clear.

Date of Birth (if you would like us to acknowledge your birthday)

YYYY

All Applicants

Emergency Contact Name

Emergency Contact Number

Any educational needs or medical issues, including allergies.

You should make known learning needs e.g. dyspraxia, dyslexia, mild hearing or mild eyesight impairments, so that accommodations can be made. Warning: If you do not disclose a medical condition this could have consequences for you should an emergency arise.

Name of course, day and time applied for

e.g. Portraiture, Tuesday mornings

Total fee

Signature of Student

I declare that I will pay the total course fee, as part of my application, within 24 hours of form submission. I have fully completed this application form - all fields. I understand there is no refund if I cease to attend (only if my application is unsuccessful will it be returned). Photographs may be taken of student artwork for educational purposes, including website and social media, with no names. I agree to read and respond to emails sent to me relating to the administration of this course. I will be punctual in my timekeeping. I will advise the course leader in advance of absence as a matter of courtesy, the preferred method being email.

Please tick this box to sign in agreement of the above terms.

Date of Application

YYYY