2023 Hindi School Registration

Name*

First NameLast Name

Email*

example@example.com

Home Phone*

Cell Phone

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Emergency Contact (If Parent/Guardian cannot be reached)*

Relationship to Student*

Emergency Phone*

List the name of student(s) participating in Hindi School for the year 2022-23 *

	Name of the student	Age	Date of birth (mm/dd/yyyy)	Grade
Student 1
Student 2
Student 3
Student 4

Please indicate if you are able to volunteer in school activities and what you can assist with*

YesNo

Note: Please consider becoming a member of ICAM and enjoy numerous benefits. As an ICAM member, you will receive a 25% discount on fees for all children in your family. To learn more about the membership benefits, please visit our website at icamn.org.

In addition, non-ICAM families can also avail a 25% discount on the fee for the 2nd, 3rd, and 4th child in their family.

If you have any questions regarding registration, please feel free to email us at education@icamn.org.

How do you want to pay the tuition fees?*

OnlineSend check (Checks can be made to ICAM, in the memo add “Hindi school fees”. Mail the check to PO Box 7163, Rochester, MN 55903)

Please select the appropriate tuition fee for the student(s)*

Number of Students

$300.00 Quantity

Enter coupon

Total

$0.00

By submitting this application I agree that all information above is true.*

Yes

Parent/guardian Details

Student(s) Details

Payment/Fees Information