Registration Form for classes 2008 - 2009

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: Hindi Keyboard Hindustani Vocal Press "Ctrl" key to select more than one classes. Semester 1 [September-December] Semester 2 [January-June]
** Bollywood Class begins from September 21st, 2008 ** Fee Schedule for Hindi classes: ** $100.00 donation to DT for 14 sessions.** Fee Schedule for Other classes: 1. $400 yearly fee per class if paid in advance before the start date of classes in Sept.2008. 2. If paid in installments - $220.00 per semester. 1st installment due before classes begins in Sept.08 and 2nd installment before January 09. 3. Family (for families of 3 or more) or Multiple class Discount with full year advance payment will receive a Total discount of $50.00. 4. Tuition Fee is Non-Refundable. 5. No Cash payment please. 6. Please make checks payable to Durga Temple.
**Sibling/Multiple Course discounts available if paid in full or in advance**
Policies and Procedures:
Two semesters [(Sem.I- Sept.-Dec.)(Sem.II- Jan.-June)] Of 16 sessions each will be conducted during the school year 2008-09. No make-up classes will be given if a student is absent. Make-up class will be offered only when the schedule class is cancelled by respective teacher. Complete form along with the check payable to DT should be submitted to Class Admin or to a respective teacher. All payments should be made in its timely manner. Classes will not be held incase of major Durga Temple events. Participation of DT students in DT cultural events such as Dashera Mela and Holi Mela is solely teacher’s decision.
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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