Loading…

Course Name	Start Date	End Date	Site
Back to MT	03/09/2025	05/09/2025	Italia Conti

Personal Details

Title

First Name

Surname

Date Of Birth

Sex

Contact Details

House No./Name and street (Address Line 1)

Address Line 2

Town / City

County

Postcode

Mobile

Personal Email Address

Personal Email Address (enter again)

How did you hear about us?

Emergency Contacts

Contact 1

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone number

Emergency Contact Email Address

Have you attended an Italia Conti Associate school?

If yes - which school

Performing Arts Education / Performance Experience:

Current/ most recent School

Current Performing Arts school

Performance experience

Equal Opportunities

The following information is only used to monitor applications to the academy and supply information for Government and Educational statistics. It is not used as part of the audition process

Ethnic Group

Nationality

Do you have any disabilities, learning difficulties or medical conditions

Yes

Primary Disability/Learning Difficulty

Secondary Disability/Learning Difficulty

Please provide any extra information that can help us to help you

Terms & Conditions / Privacy Policy

Please tick here if you would like to be contacted Italia Conti regarding upcoming shows, events and other opportunities.

Please tick the box below to confirm:

I have read and agree to the study location information
Additional support is available to me if needed
I have read and agreed to the terms for Summer school, Conti Camp, and Emerging talent