Registration Form

 

  1. First Name:(*)
    Please enter your first name!
  2. Last Name:(*)
    Please enter your last name!
  3. Relation to the student:(*)
    Please select Relation!
  4. Home Phone:
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  5. Mobile Phone:(*)
    Please enter your mobile phone number!
  6. Email Address:(*)
    Enter a valid email address!
  7. Home Address:
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  8. Student1 Details
  9. First Name:(*)
    Please enter your first name!
  10. Last Name:(*)
    Please enter your last name!
  11. Gender:(*)
    Please select Relation!
  12. Age:(*)
    Please enter your age!
  13. If the child has any health issues, please let us know :
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  14. Please select the class for which you want to enroll your kid:
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  15. Timings for which you want to enroll:
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We accept:

Quick Contact

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  3. Enter a valid Email Address!
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Address:

Country: USA

City: Michigan

Address: 25301 Halsted Rd, 

Farmington MI  48335

Email:kidindiamichigan@gmail.com

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