Days 30th July 201831st July 20181st August 20182nd August 20183rd August 2018 I require extra hours on... 30th July 201831st July 20181st August 20182nd August 20183rd August 2018 Child's Name Date of Birth Parent or Guardian's Name Address 1 Your Street, Your Town, YO4 7OW Email Mobile Number What year is your child currently in at school? ReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11 Does your child currently attend RPA sessions? If so, please select their class. Does Not Currently AttendAbbey Meads SchoolBridlewood School R & Yr 1+Bridlewood School Yr 2+Broad Town SchoolCirencester PrimaryCrudwell SchoolDown AmpneyHaydon Wick SchoolOakhurst Rainbow StarsOliver TomkinsOakhurst School SeniorsOrchid Vale SchoolRed Oaks SchoolRPA RapportSaint Francis - Taw Hill Yr 1-2Saint Francis - Taw Hill Yr 3+Shaw Ridge SchoolShaw All StarsShaw Magic StarsSouthfield Junior SchoolStratton Cirencester Does your child have any allergies? YesNo DetailsIf yes please give details... I give permission for my child/ren to be photographed/videoed in class by RPA teachers to give feedback on performance skills I give permission for my child/ren to be photographed/videoed in class by parents, family & friends during school performances I give permission for my child/ren to be photographed/videoed at public performances (e.g. Steam, Big Arts Day, etc.) I give permission for all of the above film & photographs to be used for marketing purposes on/in: Revolution WebsiteFacebookTwitterYoutubeLocal PressNational Press Are you human? Please check the box below to confirm this is a genuine enrolment request.