IMAC Cochin Kalabhavan – Online Pre-Summer Class 2026 Registration
Online Class
Student Name
*
Age
*
Date of Birth
*
Gender
*
Male
Female
Parent/Guardian Name
*
Parent/Guardian Contact Number
*
WhatsApp Number
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Select Activities (Maximum 4)
*
Cinematic Dance – 10 BD
Music – 10 BD
Drawing & Painting – 10 BD
Art & Craft – 10 BD
Martial Arts – 10 BD
Chess – 10 BD
Number of Activities Selected
*
1 Activity – 10 BD
2 Activities – 20 BD
3 Activities – 30 BD
4 Activities – 40 BD
12. Do you have Zoom access?
*
Yes
No (Need guidance)
Additional Notes / Information
Declaration
*
I confirm that the above information is correct and I agree to the camp guidelines.
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