Kuchupudi Class Registration
                                                                    Please use this form to fill details.
                                                                 (Monthly fees $60)          Call if you have any Questions  : 320-318-3342
Student  First Name *
Student Last Name *
Student School Grade & Age *
Previous experience in Dance   *
If Yes to above, how much year learned and teacher's name *
Parents name *
Address *
Mobile  Number (for Whatsapp Communication) *
Comments *
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