Apply for Draw and Paint Online Courses



Apply for Draw and Paint Online Courses

You may complete this application form for any of Peter Stanyer’s courses.

Completed forms together with cheque payment should be returned to the address at the bottom of the form. You can also pay for our courses online.

All cheques should be made payable to Peter Stanyer.

You may apply at any time; your enrolment on the programme will commence from the receipt of application.

If you have any queries or difficulties filling in this application please call Peter Stanyer on 01422 842491 or email stan@drawandpaintonline.co.uk.

Please complete in Black pen. Only submit 1 form. PLEASE DO NOT FOLD THE FORM. If wish to make changes to your application please contact Peter Stanyer.

Personal Details

Surname/Family Name:

First names:

Date of Birth:

Title (please tick): Mr Mrs Ms Miss

Full Postal Address:

Postcode:

Home Tel. No:

Mobile Tel No:

E-mail Address:

Proposed Course(s)

Course Title and level:

How did you hear about the course? (please state)

Declaration

I believe that the information provided is correct to the best of my Knowledge.

Signature: Date:

When completed please send to:

Peter Stanyer. The Smithy, Lower Smithy, Colden, Hebden Bridge,

West Yorkshire HX7 7HP.

We will acknowledge your application with 7 working days.

All details on this form are subject to the terms of the Data Protection Act 1998.

For office use only

Pers code:

Date received:

Ack. sent date:

Welcome Pack iss:

Login issued:

Reference requested:

Reference received:

CRB check reqd:

Date CRB check received:

Date Course Completed:

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