Submissions – Activities & Classes – Non Members
| Activity | First Name | Last Name | Date of Birth | Age of Student | Gender | Optional Other Gender Info | Does your child suffer from any illness, allergy or disability? If yes please provide details | No of Sessions | Total Cost of Classes | Parent 1 Name | Parent 1 Phone | Parent 1 Email | Parent 2 Name | Parent 2 Phone | Parent 2 Email | Address Line 1 | Address Line 2 | City | Post Code | Contact Name | Contact Phone | We agree to MKHA taking photographs and videos which may be used on MKHA platforms and social media | I agree to the terms and conditions. | Confirm Parent 1 Name | Date of signature |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Gujarati Pre School Classes | Jaxon | Braybrook | 03/11/2019 | Male | No | 12 | Total Cost of Sessions: 0.00 | Nita Pancha | 07581049786 | n_pancha00@hotmail.com | Richard Brabrook | 07734 424867 | 10 Harmans Cross | Broughton Gate | Milton Keynes | MK10 7BL | No | 1 | 10/09/2023 |