Swindon Private Workshop Booking Easter 2025

Workshop details

Chosen Workshop *

Which day(s) will your young person be attending? *Mon 14th April 2025Tues 15th April 2025Wed 16th April 2025Thurs 17th April 2025

About Your Young Person

Young Person's First & Last Name *

Young Person's Date of Birth *

What is Your Young Person's Age? *

What is Your Young Person's Gender? *FemaleMaleOther

Please Confirm Your Young Person's Preferred Pronoun. *

Does Your Young Person Have Any Allergies/Dietary Requirements? *YesNo

Details of Allergies/Dietary Requirements? *

Does Your Young Person Take Any Medication we Need to be Aware of? *YesNo

If Yes, please give details of this: *

Do you give consent for your child to receive the necessary first aid treatment? *YesNo

Please confirm regarding dropping off/picking up *Walking to the session alone but being picked up by guardianWalking home from the session alone but being dropped off by guardianWalking to and from the session aloneGuardian will be dropping off and Picking up

More About Your Young Person:

We want to make sure we reach all demographics, would you mind answering the following..

What is your young person's ethnicity?

What is your young person's nationality? (Country of Birth)

What is your young person's religion?

Does your young person have any additional needs? *YesNo

Details of Additional Needs

Does your young person have a Care Plan? *YesNo

If Yes, please give details *

Is an Interpreter/Signing required?

Name of Education Setting (if appropriate)? *

Are you happy for us to discuss your young person with their school? (when appropriate) *YesNo

About you

This section is about you, the parent or guardian of the above named child

Parent or Guardian's First & Last Name *

Mobile Number *0 / 12

Email Address *

Street Address *

Town *

Postal Code *

Relationship to Young Person? *

Secondary Emergency Contact

This needs to be different to the parent/guardian as they will be contacted if parent/guardian does not respond

Emergency Contact's First & Last Name *

Emergency Contact Phone Number *0 / 11

Relationship to Young Person? *

Meals

Would your young person like a meal each day? (£3 a meal, we will send you a menu) *YesNo

Will your young person be bringing a packed lunch? *YesNo

Note:

If so, please avoid packing anything with nuts or nut products.

Payments

How would you like to pay? *Go Cardless InvoiceTax Free Childcare (Gov.uk)Private Childcare Vouchers

Which Childcare Provider? *

Filming and Photography

This section asks for your permission relating to filming, and photography

I give permission for my young person to be photographed/filmed during their workshops for social media purposes *YesNo

Please confirm any Social Medias you are not happy for your young person to be posted on

How did you hear about us? *

Terms and Conditions

The sections below must be completed in order to enroll your child. Please scroll down to the bottom of the website for terms and conditions

Privacy Policy (GDPR) *Yes, I have read and agree with the Revolution Performing Arts Privacy Policy and with the storage and handling of my data by this website and related systems.

Terms and conditions of business *I have read and accept the Revolution Performing Arts T&Cs