Gujarati Class Registration

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1. Registration must be completed by a Parent or Legal Guardian of the Student.
2. Class Times: 11 AM - 11:45 AM
3. Fees: $75 for a school year
4. All correspondence will only be via the Parent/Legal Guardian email address and phone number provided on this registration form. Please ensure the accuracy of your email address.
All Registrations will be voided if dispute filed with PayPal, credit card or bank.

Email *

Student Information

Last Name *

First Name *

Gender *

Male

Female

Date of Birth(MM/DD/YYYY) *

Between 7 to 15 years.

YYYY

Gujarati Proficiency Level *

Write "None" if not applicable

None - Can not read or write or coimmunicate

Some - Can understand but can not respond

Limited - Can communicate, but can not read or write

Basic - Can communicate, Read and Write at basic level

T-Shirt Size (Youth) *

You will not be able to request a different size at the Vidhyalaya.

Youth Small

Youth Medium

Youth Large

Youth X-Large

Adult Small

Adult Medium

Adult Large

Adult X-Large

Dietary Restrictions/Allergy (Drug or Food) *

Write "None" if not applicable

List any medications/special attention that your child may need *

Write "None" if not applicable

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