JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
The Atelier Guwahati // Registration Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Session for which enrolment is sought
*
2019 - 20
2020 - 21
2021 - 22
2022 - 23
Required
Age Group
*
Da Vinci's Studio (Age - 2 Years +)
Kipling's Corner (Age - 3 Years +)
Newton's Tree (Age - 4 Years +)
Darwin's Den (Age - 5 Years +)
Required
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Blood Group
*
Your answer
Gender
*
Choose
Female
Male
Nationality
*
Your answer
Language(s) spoken in the home environment
*
Your answer
Tell us something about your child and her/his inclinations, interests and personality traits.
*
Your answer
Health Information
Please ensure that all necessary health information is produced and is complete and accurate
Allergies
*
Your answer
Any food to be avoided due to allergic reaction or dietary restrictions
*
Your answer
Recent Illnesses/ Accident
*
Your answer
Other(s) (Details of any developmental delay/ congenital anomaly)
*
Your answer
Is your child attending (or has attended) any speech or occupational therapy? Please mention period of therapy and names of therapists.
*
Your answer
Has your child attended any preschool/early years programs prior to this?
*
Yes
No
Required
Name of Institution
Your answer
Location
Your answer
From
MM
/
DD
/
YYYY
To
MM
/
DD
/
YYYY
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Atelier.
Report Abuse
Forms
