Free Trial Registration Form for Children
Parents are suggested to sit with their children, discuss the interest areas and choose the module as per the child's interest. Please fill separate forms for multiple children.
This form is being filled by *
Child Name *
Your answer
Age of my child is *
Name of the school attending *
Your answer
Class *
Your answer
City *
Your answer
Mom's Name *
Your answer
Mom's email *
Your answer
Mom's Mobile *
Your answer
Father's Mobile *
Your answer
Father's email *
Your answer
Father's occupation *
Working with (Name of the Organization) *
Your answer
Chosen Module (you can visit the website for details: https://activsportz.com/kids) *
Choose the activity your child would love to learn (choose one activity) *
My child would like to start from (we are scheduled to launch in 1st week of July 2019 and children can reschedule later) *
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I understand that I need to pay a one-time non-refundable registration fee of Rs.150 per child before the module begins. *
Required
Would you like to pay the registration fee now? (Please mention your child's name while making payment through the link below) *
I understand and agree that some complimentary activities of ActiStart Module would not be available during the FREE Trial Period. *
Required
I certify that the above provided information is correct and there is no mistake. I am aware that all further communication will be done based on the above-provided details and I & my spouse have no objection being contacted. *
Required
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