CEE Summer 2018
Registration Form for Special and Advanced Programmes
Child's Full Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Gender *
School *
Your answer
Class/Grade *
Your answer
Parent's / Guardian's Full name *
Your answer
Mobile Number *
Your answer
email ID *
Your answer
Address
Your answer
Interested to join - session on *
Special interest of your child
Your answer
Medical conditions/allergies, if any
Your answer
Emergency contact: Name *
Your answer
Emergency contact: Phone number *
Your answer
Terms and Conditions: CEE will not be responsible for any unforeseen situation which may arise. We request Parents to attend to and take due care in case of any particular medial condition or allergies of the Child. *
Required
You may also alternatively visit CEE for registration and details. Thank you
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