Apply for our Half term and Easter programmes

Date of birth - day/month/year

Nationality

Student mobile number

Student email address

Start date required - day/month/year

End date required - day/month/year

Programme centre Relax & Revise @ Christmas at Padworth College Relax & Revise @ Christmas at AUBournemouth

How will this student be traveling to/from the course? School has arranged Covid-safe transport Agent or guardian has arranged Covid-safe transport We would like Bright World to arrange Covid-safe transport

School contact name and email address

Parent's email address

Emergency contact number

Agent name and email address if applicable

Does the student have any allergies, dietary requirements or intolerances? (e.g. medication/food/dust/stings) Yes, our student does have allergies or intolerances No, our student does not have allergies or intolerances

Please list any medical, allergy or dietary information that applies to your child

Does your child suffer from any medical or psychological conditions that may require them to have additional levels of support from the centre staff? If yes then please give us more details here. If no, then please state "No".

Bright World, CMC or Kings may photograph or film activity at our centres. These photos/film footage are used for promotional purposes. Do you agree for your child to be included in this? I consent I do not consent

UK contact (if applicable) - name, email and telephone number

Who should we contact for all matters? Parent Agent Agent and Parent

Notes for our information

Please tell us who your UK guardian is

Telephone and email address of UK guardian

How did you hear about Relax & Revise? Bright World Referral from a friend Referral from my school Google/Baidu search My guardian

Submitting this form confirms you have read and agreed to our Terms & Conditions (linked below).

Relax & Revise

Submitting this form confirms you have read and agreed to our Terms and Conditions.

application form - half term, Christmas and easter programme

application form

terms and conditions

Relax & Revise