ActivityFirst NameLast NameDate of BirthAge of StudentGenderOptional Other Gender InfoDoes your child suffer from any illness, allergy or disability? If yes please provide detailsNo of SessionsTotal Cost of ClassesParent 1 NameParent 1 PhoneParent 1 EmailParent 2 NameParent 2 PhoneParent 2 EmailAddress Line 1Address Line 2CityPost CodeContact NameContact PhoneWe agree to MKHA taking photographs and videos which may be used on MKHA platforms and social mediaI agree to the terms and conditions.Confirm Parent 1 NameDate of signature
Gujarati Pre School Classesxxxxxxxx01/01/1900MaleNo12Total Cost of Sessions: 0.00xxxx
0123456789contactme@yopmail.comxxxxxxx xxxxxxxxx012345678900 aaaaaaaaa aaaaaaaaaaaaaa aaaaaaaaaa aaaaaaaaaa