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Please complete this registration and payment form in full. If you have two or more siblings in this club then please complete a seperate form for each child.
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I agree to Lumia Dance Ltd Terms & Conditons (displayed on our webiste)(Required)
Payment is for x9 weeks of Dance After School Club. Each sessions runs at £10.
£10 x 9 = £90 from Monday 20th April - end of Summer Term Monday 6th July. Full term dates on your letter as there are some Mondays that club will not be running! Payments are non refundable.
Child's general clothing sizes in years ( can add any further description )
( can add any further description in detail about sizing or specific measurements or about rehearsal attendance )
Subscribed to the newsletter to stay up to date with important information regarding the show.
I give permission for professional photography to be taken of my child on the show day which may be used for marketing purposes only.
Please add child's name as reference
LUMIA BANK DETAILS:
Account name: Lumia Dance Ltd
Account number: 93291405
Sort Code: 20 - 76 - 90
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