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Shree Jalaram Mandir Gujarati Language Class - Registration Form
AGE – 5 and Above
LEARN TO READ, WRITE, AND SPEAK GUJARATI

Shree Jalaram Mandir is offering “GUJARATI LANGUAGE CLASS” on every Saturday from 11:30 – 12:30pm starting from, January 05, 2019.

If you would like to enroll your child in this class, please complete this registration form and submit it to Mandir Office. There is no registration fee for the class, however, fees will be charged for any materials provided in the class.

Contact us:

Ashish: +1 630-313-0024

Participant Name (First, Last) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Home Address *
Your answer
Parent/Guardian Name (First, Last) *
Your answer
Parent/Guardian Contact Number (Cell Phone) *
e.g: 7383950897 - Only 10 digits and without space and "+1"
Your answer
Parent/Guardian Email Address *
Your answer
Do you want updates from Shree Jalaram Mandir for upcoming events/programs? *
Are you interested for volunteering in the class or any other Mandir related activities? *
Rules and Policies for Gujarati Language Class
- Classes are subject to cancellation or changes pending enrollment
- Class will be held every Saturday at either Mandir Basement or inside the Mandir Main Hall
- If a class is cancelled due to unavoidable circumstances, all students/parents will be informed via email or phone
- All students are expected to behave properly and if behavior is the cause of disturbance to other students, teachers may discharge the student from the class
- All the students are expected to attend the class on time and regularly.
- Neither the Teachers nor the Mandir is liable or responsible for any personal loss or injury to any student/parent during the class or during any events related to the class/activity.
- Permit the Mandir to take photographs/video during the class or any class related activities to place on Mandir Website, Facebook Page, News, or Publications.

By submitting this form, I agree and understand the instruction given above and agree to allow my child to participate in Gujarati Language Classes offer by Shree Jalaram Mandir.

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