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                                                                    
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Email *
Student's Full Name *
Student's Age (Years) *
Student's Grade *
Student's Date of Birth *
Gender *
Is the child suffering from any specific learning disability? *
Registering Parent *
Parents Full Name *
*Registering Parent Only
Parent Mobile Number (Whatsapp) *
*Please provide contact number of Parent to be contacted only (Without +91,10 digits only)
Select the program you wish to enroll your child for *
Enrollment Type *
Select Batch Slot - First Preference *
Refer to Program Brochure shared with you
Select Batch Slot - Second Preference *
Refer to Program Brochure shared with you
Student's Address- Flat No / House No / Building No *
*Student's Kit will be shipped to this address
Area, Colony, Street, Sector *
Landmark e.g. near Apollo Hospital *
Town/City *
Pincode (6 digits) *
State *
School Name *
Siblings (if any) *
Sibling's Grade
Mode of Payment *
Payment Structure Opted *
Coupon Code (if any)
Where did you hear about us ? *
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
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.
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