Registration Form

Makoolam Kalai Koodam

An Academy For Dance and Visual Art.

Membership Form For Bharathanatyam and Visual Art

Student NRIC

Student Name

Date of Birth

Age

Gender

Male Female

Parent NRIC

Nationality

Year

Class Time

Week Day Week End

Phone

Address Line1

Address Line2

Zip Code

Member Ship Reg Fee: $55/- Fee Collected By:

Select Appropriate Box

Bharatanatyam Individual Bharatanatyam Group

Visual Arts