Request edit access
"Awakening the Magical Genius in you" Pune Workshop Registration Form
Date : 29th Sep to 2nd Oct, 2017 - Friday to Monday
Venue : Noorya Hometel, Opp. Aditya Birla Hospital Road, Chinchwad, Pune 411 033
Timing : Group 1: 4 Days : 9:00 AM - 12:.30 PM ( 9yrs to 12yrs)
Group 2: 4 Days : 2:00 PM to 5:30 PM ( 13yrs to18yrs)
Email : enquiry@waveglobal.org
Call : 8237078726 / 8237068726 / 8308308304 / 9028671458 / 9850009732
COURSE FEES: Rs. 6500/- (Inclusive of all taxes. We also provide Student bag, snacks and sandwiches on all days)
Child Name
Your answer
Gender
Age (Years as on June 1, 2017)
Your answer
Parent First Name
Your answer
Parent Last Name
Your answer
Email Address
Your answer
Contact No
Your answer
Mailing Address
Your answer
Referred by (Person Name, Facebook, Flyer, school, others)
Your answer
Emergency Contact (Name, Phone #)
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of WAVE International Group. Report Abuse - Terms of Service - Additional Terms