REGISTER FOR ICVK (INDIAN CULTURAL AND VALUES FOR KIDS)

Term Period : July 2024 – Oct 2024 (4 months = 1 semester) (total 4 semesters course)

(This is for 1^st semester)

Name of the Child *

Date of Birth (DD-MM-YYYY) *

Age *

Gender *Please select an optionMaleFemale

Blood Group *0 / 6

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) *Please select an optionYesNo

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)

Choose FileNo file chosenDelete uploaded file

Photo ID proof of child

Course Fee : Rs 1500 per semester

G-pay number : 9789057104

(Please select BASICS FOUNDATION under Businesses)

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

Drag and Drop (or) Choose Files

Submit