Gobind Sarvar Gurmat School

Student 1 Name *

First Name

Last Name

Student 1 Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student 2 Name

First Name

Last Name

Student 2 Date of Birth

MM

DD

YYYY

Student 3 Name

First Name

Last Name

Student 3 Date of Birth

MM

DD

YYYY

Mother / Legal Guardian Name *

First Name

Last Name

Mother / Legal Guardian Phone *

Country

(###)

###

####

Father / Legal Guardian Name *

First Name

Last Name

Father / Legal Guardian Phone *

Country

(###)

###

####

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

Country

(###)

###

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Class Selection *

Gurmukhi

Gatka

Tabla

Kirtan

Sikh History

Meditation

Santhiya

Attendance & Punctuality *

Attendance in all registered classes is mandatory. Students should be 5 minutes early for class. Students with five (5) or more unexcused absences or lates from any class will be removed from the class attendance list.

Yes

Attire *

It is recommended for Gobind Sarvar students to wear the following uniform to all classes and Gobind Sarvar Events: Male: White/blue/orange kurta/chola (top) with white pajama (bottom) and Blue dastar/patka/ramal (head covering) Female: White/blue/orange kameez/suit (top) with white salwar (bottom) and Blue kaaski/chuni/ramal (head covering)

Yes

Liability *

I hereby waive and forever discharge Gobind Sarvar, Gobind Marg Charitable Limited, its employees and volunteers from all claims, damages, costs and expenses with respect to injury or damage to my/their person or property, however caused, which may occur as a result of my/their participation in the program in any location where the program is being held (e.g. school, field trips, organized gatherings, etc).

Yes

Media Recording *

I acknowledge and agree that Gobind Sarvar may use photographs/video/audio recordings of my child in Gobind Sarvar related activities, programs, and events for publishing purposes including, but not limited to, promotional, educational, fundraising, online services, magazine (Mera Saho Te Rang Ratare) and monthly newsletters.

Yes