Enrolment Application Form - Cooper Academy

Contact Details

Applicant's first name
Applicant's last name
Your email address. NOTE: Do not use a school email. CSA correspondence is largely via email so please choose an account which is both checked regularly and can receive your course invoice. (If a hotmail account please check your junk box in case your CSA welcome email is not recognised.)
Preferred contact number (leave no spaces between numbers)
Street address
Suburb
Postcode
Age
Date of birth
Name of applicant’s parent /guardian (if under 18)
Phone number of parent or guardian
Please select tuition course
To select more than one option: Hold down Command key (Mac) or Control key (PC) while selecting your courses.
Select Tuition
I am applying for a Bill Harvey Scholarship (see website for details)

no yes
Name of community program and youth worker:
Terms and Conditions
I agree that by submitting this form I or my guardian/parent will abide by the rules and conditions of the Cooper Screen Academy including prompt payment of fees.
Please select

I agree

I do not agree
Please tell us how you found out about The Academy (you can choose more than one option by holding down the Ctrl key when choosing)
Which school do you attend (if applicable)

About your acting