Request edit access
Kalabharati.LLC - Registration Form
If you like to join Kalabharati for Art or Music lessons please complete this form one for each student. Any questions please send a detailed message to Whatsapp number 713-540-6310 for quick response.
What would you like to sign up?
ART - Drawing and Painting included- ages 5 1/2 - 21
ART Thu 5:30 - 7:30 PM
ART Fri 5:30 - 7:30 PM
ART Sat 12:00 - 2:00 PM
Choose one
MUSIC - Vocal is free with any selection - we have several music lessons to fit schedules - ages 5 1/2 - no limit
Carnatic Guitar
Vedic Chanting/Bhajans
Choose one
Student First Name: *
Your answer
Student Last Name: *
Your answer
Parent's Name(s) If under 18
Your answer
Home Address *
Street address, City, State, ZIP
Your answer
Date of Birth *
Cell phone *
Your answer
Family Physician (Name and Number) *
Your answer
Alternate Contact and Phone in Case of Emergency *
Your answer
How did you hear about us? If referral please provide name. *
Your answer
Who can pick up your child? *
Please put full names of persons who is eligible to pickup your child, please do not request any one who is not in the list to pick them up. If you need to add someone please complete this form again.
Your answer
Photo and Video Release Policy: *
Photographs and video of students taken at Kalabharati could be used for publicity materials. I give permission to use my child's photo or my own photo or likeness for such purposes.
Accident/ Injury Release Policy: *
I release and hold harmless Kalabharati.LLC, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Kalabharati.LLC, its owners and operators or in route to or from any of said premises.
Fees and makeup Policy: *
Fees due on the first class of each month for the entire month(4 weeks). If you join classes later than the first week of the month, tuition will be prorated for the first month. If fees is not paid at first class of the month please add 10.00 as late fees. There is a one time registration fee of $40.00 per student. No makeup classes for group MUSIC lessons.
General Information: *
Admissions are at the discretion of Kalabharati. Parents or non-Kalabharati students are not allowed in the premises during class time. Please drop off and pick up promptly. No recording either video or audio is allowed in the classrooms, the teacher sends a recording occasionally if and when needed. ------- DRESS CODE - ART CLASS: Any clothing that is ok if paint gets on. DRESS CODE: MUSIC CLASS: Bring shawl for your knees if wearing outfit other than traditional Indian clothing ----- ARTWORK IN PROGRESS: All work in progress stays in the class room. ----- ART CLASS SUPPLIES: All basic supplies except canvas are provided in the classes. AWARDS PROGRAM FEE: $25.00 per student. All art and music students participate in this happy event, they receive trophy for their achievement.
Mother/ Father/ Guardian/ Student - if over 18 years of age (Please print your name as a signature) *
I have Read and Agree to all the above policies
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms