Year 1 & 2 mixed Dance Club sign-up form (Mondays 3:30 - 4:30)
Please complete the following form by Friday 21st May in order to be allocated a place at the Year 1 & 2 mixed Dance club. There are a maximum of 20 places available, allocated at random once the sign up date has passed. Once all places have been filled, confirmation of a place along with club dates and payment information will be sent via email. The total cost for all sessions will be £10.00.

*Please ensure that costs for all other services (Breakfast & Teatime Club, School Meals, other Sports Clubs etc) have been settled before completing this form. Unsettled accounts will not be considered for new services.
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Child's full name *
Child's class *
Name of Parent/ Carer completing form: *
Contact number of Parent/ Carer completing form: *
Email address of Parent/ Carer completing form: *
Will your child be attending Tea Time Club on the day of the club? *
Does your child have any medical conditions/allergies (e.g. asthma/nut allergy) or any other additional needs? *
If your child does have any medical conditions/allergies or any other additional needs, please state them below:
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