Grange Park Primary School - Monday Dance Club 3:25pm - 4:30pm

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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Payment due

11 weeks Monday Dance Club £99

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Grange Park Primary School - Monday Dance Club 3:25pm - 4:30pm