FORMS & PERMISSIONS

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Grange Park Primary School - Monday Dance Club 3:25pm - 4:30pm [Autumn Term]

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.

Child's Full Name

Parent's Full Name

Contact Phone Number

Preferred Contact Email

Allergies / Medical Conditions

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I agree to Lumia Dance Ltd Terms & Conditons (displayed on our webiste)

Payment due

12 weeks Monday Dance Club £120

Payment is for x12 weeks of Dance After School Club. Each sessions runs at £10.

£10 x 12 = £120 from Monday 14th September - end of Autumn Term Monday 7th December. Payments are non refundable.

REHEARSAL SCHEDULE 2026