040716 Office use only:

Chq/Cash……………..

Date……………………..

ST PETER’S PRIMARY SCHOOL

ALL DANCE CLASSES START AT 5.00 pm. INFANTS FINISH AT 5.45 AND JUNIORS FINISH AT 5.50 pm.

CLASSES RANGE FROM Street Dance, Freestyle, Jazz, songs from Musicals and ‘themed’ dances.

BOTH BOYS AND GIRLS ARE WELCOME!

TERM / DAY / TERM DATES / TOTAL / Inset / Bank Hols
AUTUMN 1 / Wednesday - Juniors
Thursday - Infants / 14 Sep - 19 Oct 2016
15 Sep - 20 Oct 2016 / Total £ 24
Total £ 24
AUTUMN 2 / Wednesday - Juniors
Thursday - Infants / 2 Nov - 14 Dec 2016
3 Nov - 8 Dec 2016 / Total £ 28
Total £ 24
SPRING 1 / Wednesday - Juniors
Thursday - Infants / 11 Jan - 8 Feb 2017
12 Jan - 9 Feb 2017 / Total £ 20
Total £ 20
SPRING 2 / Wednesday - Juniors
Thursday - Infants / 1 Mar - 29 Mar 2017
23 Feb - 30 Mar 2017 / Total £ 20
Total £ 24 / No class on Wed 22 Feb
(school hall not avail)
SUMMER 1 / Wednesday - Juniors
Thursday - Infants / 19 Apr - 24 May 2017
20 Apr - 25 May 2017 / Total £ 24
Total £ 24
SUMMER 2 / Wednesday - Juniors
Thursday - Infants / 7 Jun - 12 Jul 2017
8 Jun - 13 Jul 2017 / Total £ 24
Total £ 24

TERM: ………………………………………………………………………………………………………………..

NAME OF CHILD: ......

YEAR & CLASS: (FROM SEP 16) …………………………………………………………………………………………………………………

DATE OF BIRTH: ………………………………………………………………………………………......

PARENT/GUARDIAN’S NAME: ………………………………………………………………………......

EMERGENCY CONTACT NO: Home: ……………………………………… Mobile: …………………………………………..

MEDICAL CONDITION(S): ………………………………………………………………………………………………………………..

NAME OF PERSON(S) RESPONSIBLE FOR COLLECTING YOUR CHILD AND THEIR CONTACT NUMBER:

Name: ………………………………………………………… Tel No: …………………………………….…………… Relationship: ………………………………………….

Name: ………………………………………………………… Tel No: ……………………………….………………… Relationship: ………………………………………….

Please return this form with your payment to Bev / Laura or to the school office

before the start of each half-term to secure your child’s place.

Payment can be made by cash or cheque (payable to Danzefuzion)

or transferred to Account: 41767074, Sort code: 09-06-66, Account name: Danzefuzion.

Please put your child’s name and school as a reference.

Late collection will result in additional charges of £1 for every 5 minutes, after an initial 5 minutes.

FOR FURTHER INFORMATION PLEASE CONTACT BEV (07838 473041) OR LAURA (07977 630848)

Booking Forms can also be downloaded from our website www.danzefuzion.co.uk