Easter Revision Courses Application

Choose your Easter Revision Course(s)!

Payment method *

Over the phone with credit/debit card

How many subjects? *

Please phone 0117 3157 143 after making your booking to pay over the phone with credit/debit card

How many subjects? *

Subject 1? *

Examination Board studied *

Areas to concentrate on *

Subject 2? *

Examination Board studied *

Areas to concentrate on *

Student Details

Student Details *

First

Last

Gender *

Male
Female

Student nationality *

Date of birth *//

Year group *

Year 11 (GCSE)
Year 13 (A Level)

Address *

Address Line 1

City

State / Province / Region

Postal Code

School/College attended *

Student Mobile Telephone number *

Student e-mail address *

Additional support needs

This section must be completed for all students so we can ensure we have the appropriate level of care in place for the student. Any data shared with the College wlll be held confidentially and limited information will be shared with members of staff who directly support the student's education. We may request your permission to share the student's data more widely if it is considered to be in their best interest.

Has the student any known requirements for, or ever received, any individual learning support?

If yes, please indicate the areas in which your child requires, or has previously received, support:

Specific learning difficulties
Emotional/behavioural
Other conditions (including hearing and sight)

Please give further details (continue with a separate e-mail, if necessary)

Parent / Guardian Details

Parent/Guardian Details *

First

Last

Relationship to student *

Address (If different from student)

Address Line 1

City

State / Province / Region

Postal Code

Mobile telephone number *

Alternative contact number

Contact e-mail address *

Where did you hear about us? *

Bus advertising
Previous attendance
Word of mouth/Recommendation
Online search engine
Bristol Post advert
Bath Chronicle advert
Western Daily Press advert
Flyer through door
Clifton College
Own school

You'll now be taken through to PayPal in an external window to make your payment.

Terms & Conditions *

I have read and agree to the Terms & Conditions

Please tick here to confirm that you have read and agree to the terms and conditions

Clifton College Sport & Leisure

Easter Revision Courses online application

Choose your Easter Revision Course(s)!

Student Details

Parent / Guardian Details