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Registration Form
Please fill the form and send the fee by Zelle to '
info@bc4he.org
' to complete registration
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* Indicates required question
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student's Age
*
Your answer
Student's Grade
*
Your answer
Father/Guardian's Full Name
*
Your answer
Father/Guardian's Phone
*
Your answer
Father/Guardian's Email
*
Your answer
Mother/Guardian's Full Name
*
Your answer
Mother/Guardian's Phone
*
Your answer
Mother/Guardian's Email
*
Your answer
Which session you want to enroll
*
Livermore 3-18 years (Friday 6:30pm)
Dublin 12-16 years (Friday 4:30pm via Zoom)
Sunnyvale 6-9 years (Sunday 10am)
Required
Zelle Transaction ID
*
Your answer
Please provide consent to Lil' Krishna Kidz to use photos and videos of the children taken during the Summer Camp for marketing purposes on social media platforms .
*
Yes, I grant permission to Lil' Krishna Kidz to use photos/videos of my child, taken during the Summer Camp, solely for marketing purposes on official social media platforms.
No
How did you hear about us?
*
Internet Search
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