FORMS & PERMISSIONS

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

9 weeks Monday Dance Club £90

Payment is for x9 weeks of Dance After School Club. Each sessions runs at £10.

£10 x 9 = £90 from Monday 12th January - end of Spring Term Monday 16th March. Full term dates on your letter as there are some Mondays that club will not be running! Payments are non refundable.