Guardian Name *

Street Address

City *

State *

Country

Postal code

Which Classes would you like to register for? *

Bollywood Dance :- $25 per class/ $ 90 per month / Quarterly $260

Kathak Dance :-$25 per class/ $ 90 per month / Quarterly $260

Aerobics Ladies :- $225 per year

Hinduism Club: $225 per year

Allergies if any?

Parental Consent: I hereby give Baba Balak Nath Temple permission to use any still and/or moving image being video, photos as a group of student taken by Baba Balak Nath Temple staff during the registered study period for the following uses: Advertising, marketing and any other use such as for training, educational and publicity purposes.