Photo Nandhanam School of Dance

& Music

SUMMER CAMP–REGISTRATION FORM Student Information: Name Date of Birth School Name: Civil ID number: Parents Details: Name of Father Contact Numbers

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Office

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Mobile

Office

Home

Name of Mother Contact Numbers Email Address: Residence Location: Remarks, if any Other Details: Previous dance experience (if any) Any other information that the school should be aware of Transportation Required

Signature & Date

For Office use Only Summer Camp Registration Number Date of Joining Remarks

Preferred First Contact

summer camp–registration form -

Nandhanam School of Dance & Music. SUMMER CAMP–REGISTRATION FORM. Student Information: Name. Date of Birth. School Name: Civil ID number:.

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