Registration Form - Gharana Arts
Please ensure all information on this form has been correctly filled out.
Student First Name *
Your answer
Student Last Name *
Your answer
Artistic Discipline *
Student Birthday *
MM
/
DD
/
YYYY
Age *
Your answer
Home Address *
Your answer
Phone Number (Main Contact) *
Your answer
Mothers Full Name *
Your answer
Mothers Cell Phone Number *
Your answer
Fathers Full Name *
Your answer
Fathers Cell Phone Number *
Your answer
E-mail Address *
Your answer
Alternate E-mail Address
Your answer
Allergies or Medical information we should be aware about: *
Your answer
NOTE:
All information is kept confidential.

Once you have submitted this registration form you have agreed to follow all rules and regulations of Gharana Arts Inc written in the next section of this form

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