Registration Form for classes 2007- 2008

Student Name:
Date of Birth: e.g. 1-1-1990
Mother's Name: Father's Name:
Address: City: State: ZIP: Home Phone: Cell Phone:
E-mail:
Emergency Contact (different from Parent/Guardian)
Name: Phone:
Select the Class: Select Semester: Bharat Natyam Bollywood Dance Carnatic Vocal Hindi Hindustani Vocal Kathak Nepali Dance Press "Ctrl" key to select more than one classes. Semester 1 [September-January] Semester 2 [February-June]
**Fees: $200 per semester** pay in person
**Sibling/Multiple Course discounts available if paid in full or in advance**
RULES/GUIDELINES
Tuition Fee is non-refundable. No make-up classes are given if student is absent in the class. There will be no classes on the day of temple events, festivals and hall unavailability. Make-up class will be offered only when the class is cancelled by respective teacher. No classes will be conducted on long weekends, Thanksgiving, Christmas & New Year Eve Filled form along with the check made payable to Durga Temple should be submitted to class administrator (available in downstairs hall on Sundays between 9.00-10.00 a.m. only for the month of September) or to Temple manager. (available in the office) No Cash Payments Please.
I have reviewed the guidelines/rules of Durga Temple Classes and agree to abide by them.
Date:	e.g. 1-1-2008
SIGNATURE (Adult Student/Parent/Guardian): e.g. initial your name
For further information, contact: Admin: Shimaliya Aurora: 571-214-8814, Rekha Mahaswade: 571-642-0185
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