Clone of Southcote Primary School - Bollywood and Zumba Dance Club Summer 2026 Registration Form

Zumba & Bollywood Dance - Registration Form Autumn 2026

Southcote Primary School
Student Name

First NameLast Name
Parent/Carer's Name

First NameLast Name
E-mail
Phone Number
Please enter a valid phone number.Format: 00000 000000.
Age
Class Name
Term Schedule and Fees

Following is the club dates for the Autumn 2026 term:
- The club will start from Thu 17th Sep during the school term
Fee - £70

Please pay the fees by bank transfer to the following account:

Account Type: Business
Account No. 03033331
Sort Code 60-83-71
Account Name: Aradhana Singh

Please include your child's name in payment reference

Fees paid are non-refundable and non-transferable
Waiver/Release Form

I understand the risk of injury in any type of physical activity. I will not hold the Institute or any of their instructors liable for injuries sustained during a dance class.

I hereby give permission to take/use photos or videos of my child for promotional & in-studio use.
Once you submit your application, we will contact you shortly to let you know that your registration been accepted. Once you receive the acceptance, please pay the club fees to confirm your place.
Should be Empty:

Zumba & Bollywood Dance - Registration Form Autumn 2026