REGISTER FOR ICVK (INDIAN CULTURAL AND VALUES FOR KIDS)

Name of the Child *

Date of Birth (DD-MM-YYYY) *

Age *

Gender *

Blood Group *0 / 6

Which area you would like to join for ICVK classes?

Please note that ICVK classes are available for children aged 6 to 12 years only at the Mogappair and Taramani centers. At the Thiruvanmiyur center, ICVK classes are offered for children aged 3 to 15 years. Kindly select your batch accordingly from the options below

Select Batch *Gopala (3 to 5 yrs) – Sub JuniorKeshava (6 to 8 yrs) – JuniorGovinda (9 to 11 yrs) – SeniorMadhava (12 to 15yrs) – Teen

Name of the School *

Name of Father *

Name of Mother *

Residential Address *

Contact Number of Father *

Contact Number of Mother *

Email

Pick and drop person name *

Pick and drop person contact number *

Relation *

Aadhaar Number of Child

Consent on Media release (permission to use photos or videos of the participant) *

Interested in Free "Gita Life" course - for parents simultaneously *Both Parents are interested to attendOnly Single parent willing to attendNot interested

(Kindly attach the below documents) *

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Photo ID proof of child

Course Fee : Rs 2000 per semester

G-pay number : 9789057104

(Please select BASICS FOUNDATION under Businesses)

Screen shot of payment made (after the completion of payment) *

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REGISTER FOR ICVK (INDIAN CULTURAL AND VALUES FOR KIDS)

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