ADMISSION FORM
HOWRAH SEVA SANGHA TABLE TENNIS ACADEMY
STUDENTS NAME
*
First
Last
Mobile No. Of Gaurdian
*
Please enter a valid phone number.
RESIDENTIAL ADRESS OF STUDENT/ GAURDIAN
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email ID of GAURDIAN
*
example@example.com
Age of Student =
blanks
*
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Date of Birth Of Student
*
/
Month
/
Day
Year
ENTER THE VALID DOB OF YOUR WARD
Upload here a Picture of The STUDENT
*
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Select Your Wards LEVEL
*
BEGINNER LEVEL PLAYER
INTERMEDIATE LEVEL PLAYER
ADVANCED LEVEL PLAYER
NAME OF GAURDIAN (FATHER OR MOTHER)
*
First Name
Last Name
SIGNATURE OF GAURDIAN (FATHER OR MOTHER)
*
I hereby confirm that my child will be taking Admission in Seva Sangha Table Tennis Academy (T&C Applies)
*
Agree
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