HTHF Hindi Class Enrollment Form 2019-20
Please provide the below information
Email address *
Your answer
What is the student's name? *
Your answer
What is the student's mother's name? *
Your answer
What is the student's father's name? *
Your answer
What is the student's age? *
Your answer
Contact Information
What is the student's home phone? *
Your answer
What is the student's mother's cell phone? *
Your answer
What is the student's father's cell phone? *
Your answer
Email: *
Your answer
Student's Skill in Hindi: *
None
Some
Good
Very Good
Understanding
Speaking
Reading
Writing
Donation to HTHF for Hindi Class is $35.00 per student per month. Payable on bi-monthly basis (Sep. & Oct.) ( Nov. & Dec.) ( Jan. & Feb.) and so on.
1. By signing this form, I (singularly and jointly with my spouse and my child)
hereby release the Hindu Temple & Heritage Foundation (HTHF), teacher(s) and
volunteer(s), from any liability arising out of any personal injuries or damages to
property, foreseeable or unforeseeable, which may occur as a result of my child’s
participation in the Hindi Class.
2. I will bring in my child at 10.00 am, and pick up my child promptly at 11.30 am.
3. I understand that PARKING or BLOCKING the entry FIRE LANE is illegal and
may result in a big fine and/or impounding of the vehicle. It also upsets our
neighbors.
4. I understand that crossing of California Blvd., except via the pedestrian crossing,
is a safety hazard and a violation of County code.
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