Adult Education Enrolment Form

Please complete this Enrolment Form for the Adult Education class you are attending at Chellaston Academy. 

By submitting this form, you confirm that you are happy for us to hold your data as part of the process of enrolment.  The data collected will be handled in accordance with the GDPR regulations (a detailed explanation of which is available here).

Which course(s) have you enroled on with us?
Surname
Forename
Telephone
E-mail
Date of birth
If you have a disability or medical condition of which we should be informed, please enter details here
Address (including postcode)


Send me a copy of this form

Please leave the next box blank or your submission will not be accepted: