Registration Form
After you fill out this registration form, we will contact you to go over details and availability before the registration is completed. If you wish to speak personally please contact Ms. Sapna Uppal (Director) on 9819719688.
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Email *
Name of the child (full name) *
Child's date of birth. *
Choose size and number per color
MM
/
DD
/
YYYY
Name of the parent (Primary contact) *
Please enter the product number
Contact number for discussion of the program. *
Address
Best Time to contact you *
Grade of the child *
Current Board (if applicable) *
Select Scholastic/ Co-Scholastic Subjects. *
Required
Implementation of the program (you can select multiple options) *
Required
Children require personal attention. How much time can you dedicate per day. (without work phone & personal commitments) Select multiple options *
Required
Mode of Delivery of teaching aids/ resources *
Required
Active Email Address (we recommend the one which is available on your smart phone) *
Would you like to upload/ share photos & videos of your child for our social media/ website (HD only) *
Special Notes or Suggestions for our team (optional)
Tell us more about your child to help us understand better. *
Help us spread the word. Please give us three references with their contact number (Special discounts & offers applicable)
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