St Pauls COE VA School - Street Dance Club Year 1 - Year 6 (Spring Term 2024)
Wednesday Lunchtimes 12:15PM - 12:55PM

DATES: 31/01/2024 - 27/03/2024 (EXCLUDING 21/02/2023 FEB HALFTERM)

8 classes in total 

COACH: Skye Burke
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Child Full Name *
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Are there any cultural/ religious needs or requirements the coach needs to be made aware of to support the participant?
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Do you give consent for the coach to administer first aid to your child if required? 
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Do you give consent for your Child to be included in photos/ videos for AZURE DANCE AND GYMNASTICS marketing purposes? 
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Parent/ Guardian Contact Name
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Parent/ Guardian Contact Number
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Emergency Contact Name
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Emergency Contact Number
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I am happy to be added to the Class Whatapp group for updates and information purposes?
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I understand that I will have to pay £46 (8 classes) via bacs no later than 29/01/2024, if payment is not received this place will be offered to another child. 

Please note: Places are non refundable and given on a first come first served basis only secured once payment has been received in full.

Payment via bacs to:

S A CARROLL BURKE 
Metro Bank
Sort Code: 23-05-80
Account number:  34658528
Reference - CHILDS FULL NAME
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Azure Dance and Gymnastics
Thank you for your interest in the class, If you have any questions please do not hesitate to contact me. If I do not answer your call I am most likely busy coaching, so in that case please do leave a voicemail or pop me a message and I will get back to you asap. 

Skye Burke - Head Coach

INSTAGRAM - AzureDance00
EMAIL - AzureDance00@gmail.com
07802-791-232
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