Bharata - School of Indian Dance & Music

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Bharata School Registration Page

 
Student Name:    Age: 
                          Dance:       Music:      Both:       
Class Time Preference:    
(provide 3 preferred days & timings in the cell above - eg Wed 5-8pm, Sun 8AM-12pm)
Father's Name:  
Mother's Name: 
Father's E-Mail:         enter at least one valid e-mail address
Mother's E-mail:
Home Phone:                             Cell Phone:        (with area code)
Home Address:     
City:                                   State:          ZipCode:   
 
Check the box, if you have read the terms & conditions for the classes  
After submission of this form, mail the $20 registration check to Parvatha Chidambaram, 26 Smallwood Drive, Pittsford, NY-14534. Phone: (585) 264-9499