Easter Revision Courses Application

Choose your Easter Revision Course(s)!

Please complete this booking form in full. Once received, we shall process this form along with your choices, and we shall be in contact with confirmation! Please note, there will be a delay in confirmation of bookings between Saturday 29th February and Sunday 8th March due to staff annual leave, but bookings will be stored up in an e-mail inbox ready for processing.

How many subjects? *

Subject 1? *

Examination Board studied @ school *

Areas to concentrate on *

Subject 2? *

Examination Board studied @ school *

Areas to concentrate on *

Student Details

Student Details *

First

Last

Gender *

Male
Female

Date of birth *//

Nationality *

Does your child hold a Tier 4 Visa? *

A Tier 4 visa is issued to non-EU students to study in the UK

Year group (copy) *

Year 11 (GCSE)
Year 13 (A Level)

School/College attended *

Home Address *

Address Line 1

City

State / Province / Region

Postal Code

Student Mobile Telephone number *

Student e-mail address *

Does the student have any allergies or special dietary requirements? *

Further information on allergies or special dietary requirements

Does the student have any additional support needs? *

Further information on 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 *

Does the parent live at the same address as the 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 *

Please give us further details as to how the student will be arriving with us at Clifton College, and how they will be departing *

Where did you hear about us? *

Previous attendance
Own school
Clifton College
Bus advertisement
Newspaper advert
Magazine advert/insert
Flyer through door
Social media
Online search
Word of mouth/Recommendation
Other

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