Baba Deep Singh Ji Khalsa School Registration

Student First Name

Student Middle Name

Student Last Name

Student Date of Birth

Date

Student Gender

Street Address

City

State

Zip Code

Parent/Guardian 1 Full Name

First NameMiddle NameLast Name

Parent/Guardian 1 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

WhatsApp Available

Parent/Guardian 1 Email

example@example.com

Parent/Guardian 2 Full Name

First NameMiddle NameLast Name

Parent/Guardian 2 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Previously Attended Baba Deep Singh Ji Khalsa School in 2025–2026

Last Level Attended

2025–2026 Final Exam Score

Emergency Contact Name

First NameMiddle NameLast Name

Emergency Contact Relationship

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

ਕੀ ਵਿਦਿਆਰਥੀ ਨੂੰ ਕੋਈ ਸਿਹਤ ਸੰਬੰਧੀ ਚਿੰਤਾ ਹੈ? / Does the student have any health concerns?

ਕਿਰਪਾ ਕਰਕੇ ਸਿਹਤ ਸੰਬੰਧੀ ਚਿੰਤਾਵਾਂ ਦੀ ਵਿਆਖਿਆ ਕਰੋ / Please explain health concerns

Emergency medical treatment consent initials

Photo/video use consent initials

Communication consent initials

School rules agreement initials

Parent/Guardian Full Name

First NameLast Name

Signature Date

Date

Interested in Saturday Session

Interested in Weekday Gurmukhi Classes

Would Enroll Here in Near Future

ASSUMPTION OF LIABILITY & RISK:
I hereby assume all the risks of attending this school's program.

WAIVE AND RELEASE:
I hereby expressly waive, release, discharge, indemnify, hold harmless, and promise to defend and not to hold responsible Baba Deep Singh Khalsa School and Gurdwara Gur Nanak Parkash, Inc for any liability arising from the actions, both willful and negligent, negligence or fault of the entities or persons rhereby released, including for personal injury, property damage, or liability of any kind which may hereafter arise out of my participation including my travelling to and from classes.

CONSENT TO EMERGENCY MEDICAL TREATMENT:
I hereby consent to receive emergency medical treatment, which may be deemed advisable in the event of injury, accident and/or illness during the school session.

CONSENT TO BE PHOTOGRAPHED:
I understand that during school session, I may be photographed, and I agree to allow my photo, video, or film likeness to be used for any legitimate purposes by the school staff.

COVID GUIDELINES:
I understand the school session is planned to be held in person and I agree to follow all guidelines issued by school staff/volunteers. I agree to follow social distancing rules and using mask as directed. My refusal to follow COVID guidelines and instructions by school staff/volunteers may result in my expulsion from school. I further understand that at any time, the format of school could be changed to a virtual setting and agree to follow all instructions provided by staff/volunteers/teachers.

Baba Deep Singh Ji Khalsa School Registration

Student Information

Parent/Guardian Information

School History

Emergency Contact

Medical Information

Permissions & Consent

Signature

Optional Survey