AMSOA Registration Form June

Fall Classes Registration Form (Sep 2022 - Nov 2022)

Ananda Mandir School of Arts
Student Name *

First Name Middle Name Last Name
Student Birth Date *

Month Day Year
Student Gender *
Student E-mail
Student Mobile Number
Parent 1 Name *

First Name Middle Name Last Name
Parent 1 E-mail *
example@example.com
Emergency Contact Number *
Parent 1 Relationship *
Parent 2 Name

First Name Middle Name Last Name
Parent 2 E-mail
example@example.com
Parent 2 Mobile Number
Parent 2 Relationship
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Are you a member of Ananda Mandir?

Yes No
Total Amount
AM Member
Select Interested Topic

Vocal Music (HINDUSTANI CLASSICAL, SEMI-CLASSICAL, DEVOTIONAL SONGS, RABINDRA SANGEET AND OTHER CLASSICAL BASED HINDI AND BENGALI SONGS) Dance (ODISSI, MANIPURI) Painting (WATER COLOR, OIL, PASTEL, CHARCOAL AND ACRYLIC) Bangla School (BENGALI LANGUAGE AND PERFORMING POETRY)
Select the class(es)
prev next ( X )
Bangla School Language and Performing Poetry $25 X 12 Classes
$ 300.00

Dance Odissi & Manupuri $30 X 12 Classes
$ 360.00

Painting Water Color, Oil, Pastel, Charcoal and Acrylic $25 X 12 Classes
$ 300.00

Vocal Music Hindustani Classical, Semi-classical, Devotional songs, Rabindra Sangeet and other Classical based Hindi and Bengali Songs $30 X 12 Classes
$ 360.00

Ananda Mandir Membership Fee (one time): Please pay one time membership fee of $100, if you are not a member of Ananda Mandir
$ 100.00

Total

$ 0.00
Additional Requests
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Fall Classes Registration Form (Sep 2022 - Nov 2022)