SECTION I - ASHIRWAD STUDENT INFORMATION
|
*Re-Enrollment:
|
|
|
*First Name:
|
|
*Last Name:
|
|
*Date of Birth:
|
|
Mother Tongue:
|
|
School:
|
|
Grade:
|
|
*Main Phone:
|
|
*Sub Division/Apts Name:
|
|
*Home Address:
|
|
*City, State Zip:
|
|
*Main Email:
|
|
Allergies:
|
|
|
|
|
SECTION II - OTHER INFORMATION
|
Does enrolling student know any of the following. Check mark all that applies.
|
Slokas Bhagwad Githa Bhajans Yoga
|
What are the interest areas of enrolling student. Check mark all that applies.
|
Slokas Bhagwad Githa Bhajans Yoga
|
How did you come to know about Ashirwad Class?
|
|
*Do you want to volunteer for Ashirwad Events?
|
|
What are your expectations on Ashirwad's Class?
|
|
Do you give your consent, for teaching YOGA to your Child? Choose No for Bhagwad Githa Class
|
|
Above information is completed by :
|
|
I am more than 18 years of age and that I am competent to sign this contract on my own behalf OR I'm authorized to complete above information & sign as a Parent or Guardian for the enrolling student. |
"Ashirwad A Blessing Temple" shall not be liable for any damage or injury arising out of Ashirwad's Indian Lifestyle / Bhagwad Class including Yoga, Vedic Fair, Letz Play Holi, Happy:) Day. I/We also know Vedic Fair & Happy:) Day are Mandatory Events and We agree to attend.
|
RELEASE OF LIABILITY TERMS (Click here to read) - I further acknowledge that I have read, understood and agreed to abide by "Ashirwad A Blessing Temple's" guidelines. |
AUTHORIZATION AND RELEASE TERMS (Click here to read) - I affirm that I am more than 18 years of age and that I am competent to sign this contract on my own behalf. I acknowledge that I have read the foregoing authorization and release and that I fully understand its contents.
|