JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Enrollment Form (Raise a Reader Program)
Raise a Reader - by Stories & Beyond (TM)
Vanguard Learning
Address : E1/167, Arera Colony, Bhopal (M.P.)- 462016
Phone: 881 885 1200, 98260 67973
Email:
admin@storiesandbeyond.com
Sign in to Google
to save your progress.
Learn more
* Required
Email
*
Your email
Student's Full Name
*
Your answer
Student's Age (Years)
*
Your answer
Student's Grade
*
Choose
Junior KG
Senior KG
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
Student's Date of Birth
*
(DD/MM/YYYY)
MM
/
DD
/
YYYY
Gender
*
Male
Female
Is the child suffering from any specific learning disability?
*
Yes
No
Registering Parent
*
Choose
Father
Mother
Parents Full Name
*
*Registering Parent Only
Your answer
Parent Mobile Number (Whatsapp)
*
*Please provide contact number of Parent to be contacted only (Without +91,10 digits only)
Your answer
Select the program you wish to enroll your child for
*
Choose
Super Readers Workshop (10 Sessions)
Silver (22 Sessions)
Gold (44 Sessions)
Diamond (66 Sessions)
Personal Training
Enrollment Type
*
New Student (First Time attending RaR Classes)
Promoted Student (Promoted to Next Reading Level)
Returning Student (Previously Attended RaR Classes, but discontinued)
Select Batch Slot - First Preference
*
Refer to Program Brochure shared with you
Choose
Mon-Wed 04:00 - 05:30 pm (B1)
Tue-Thu 04:00 - 05:30 pm (B2)
Fri-Sat 04:00 - 05:30 pm (B3)
Mon-Wed 06:00 - 07:30 pm (D1)
Tue-Thu 06:00 - 07:30 pm (D2)
Fri-Sat 06:00 - 07:30 pm (D3)
Mon-Wed-Fri 04:00 - 05:30 pm (B4) *only for Jr KG, Sr K
Tue-Thu-Sat 04:00 - 05:30 pm (B5) *only for Jr KG, Sr KG
Mon-Fri 9:30am - 11:00am (For Super Readers Workshop)
Mon-Fri 11:30am - 1:00pm (For Super Readers Workshop)
Select Batch Slot - Second Preference
*
Refer to Program Brochure shared with you
Choose
Mon-Wed 04:00 - 05:30 pm (B1)
Tue-Thu 04:00 - 05:30 pm (B2)
Fri-Sat 04:00 - 05:30 pm (B3)
Mon-Wed 06:00 - 07:30 pm (D1)
Tue-Thu 06:00 - 07:30 pm (D2)
Fri-Sat 06:00 - 07:30 pm (D3)
Mon-Wed-Fri 04:00 - 05:30 pm (B4) *only for Jr KG, Sr K
Tue-Thu-Sat 04:00 - 05:30 pm (B5) *only for Jr KG, Sr KG
Student's Address- Flat No / House No / Building No
*
*Student's Kit will be shipped to this address
Your answer
Area, Colony, Street, Sector
*
Your answer
Landmark e.g. near Apollo Hospital
*
Your answer
Town/City
*
Your answer
Pincode (6 digits)
*
Your answer
State
*
Choose
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhatisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Andaman & Nicobar Islands
Chandigarh
Dadra & Nagar Haveli and Daman & Diu
Delhi
Lakshadweep
Puducherry
Ladakh
Jammu & Kashmir
School Name
*
Your answer
Siblings (if any)
*
Yes
No
Sibling's Grade
Choose
Below Junior KG
Junior KG - 2nd Grade
3rd - 6th Grade
7th - 9th Grade
Above 9th Grade
Mode of Payment
*
Bank Transfer (NEFT, RTGS)
UPI (Google Pay, PayTM, PhonePe, etc.)
Payment Structure Opted
*
One Time Payment
Flexi - Pay (3 Installments, Rs. 999/- extra)
Coupon Code (if any)
Your answer
Where did you hear about us ?
*
Facebook
Instagram
Website
Linkedin
Referrals
Other:
Terms & Conditions:
*
The Parent is required to : (*All responses compulsary)
I Accept
Ensure that his/her child attends classes punctually and regularly
Ensure that his/her child has Broadband connectivity
Inform the Program Coordinator of absence/leave of child in advance
Ensure the child's study kit is kept safe and orderly
Ensure the course fees or installments are paid on time, for uninterrupted access to all classes and to avoid late fee penalty
I Accept
Ensure that his/her child attends classes punctually and regularly
Ensure that his/her child has Broadband connectivity
Inform the Program Coordinator of absence/leave of child in advance
Ensure the child's study kit is kept safe and orderly
Ensure the course fees or installments are paid on time, for uninterrupted access to all classes and to avoid late fee penalty
Declaration:
*
(*All responses compulsary)
I Accept
I hereby understand and agree that the fees of the program is NON-REFUNDABLE & NON-TRANSFERABLE
I hereby agree to the Terms and Conditions relating to the admission of my child's in this program.
I Accept
I hereby understand and agree that the fees of the program is NON-REFUNDABLE & NON-TRANSFERABLE
I hereby agree to the Terms and Conditions relating to the admission of my child's in this program.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of storiesandbeyond.
Report Abuse
Forms