Submissions – Adult Bollywood Classes – 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 | xxxx | xxxx | 01/01/1900 | Male | No | 12 | Total Cost of Sessions: 0.00 | xxxx yyyy | 0123456789 | contactme@yopmail.com | xxxxxxx xxxxxxxxx | 0123456789 | 00 aaaaaaaaa aaaaa | aaaaaaaaa aaaa | aaaaaa aaaaaa | aaaa aaa | No | 1 | 01/01/1900 |