VT Seva Activities Enrollment 2013

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VT Seva Activities Enrollment 2013 - 2014

Online Registration

Register online for VT Seva Activities for academic year 2013-2014.
All Classes start from Sunday Sep 15, 2013.
Address: Floris Elementary School, 2708 Centreville Road, Herndon, VA 20171

Student Information

First Name *

Last Name *

Age *

New / Returning Student *

New Student

Returning Student

Class Schedule

Every Sunday, starting September 15, 2013.
We follow Fairfax County School Snow policy guidelines.
Chess Classes - 9:30 AM - 11:30 AM. We schedule 32 classes to allow 2 snow days.
Yoga Classes - 10:00 AM - 11:30 AM

Class Type?

Chess Classes

Yoga Classes

Parent Information

If the registration is for an adult, Enter "N/A" for Not Applicable fields .

Mother's Name *

Father's Name *

Home Phone # *

Mother's Cell Phone # *

Father's Cell Phone # *

Home Address *

Primary Email *

Alternate Email *

Emergency Contact Information (Name and Contact Phone) *

Payment Information

Tuition for Chess Classes - One Time Payment - $300.00 ($5 per hour; two hours a week, for 30 weeks). Installments - 2 payments of $175.00
Tuition for Yoga Classes - $150.00

Payment Method *

Cash

Check

Consent *

I acknowledge that I will abide by the policies set by VT Seva.

Required

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