Ashirwad = A Blessing Class
Ashirwad Enrollment Application
Complete Enrollment Application to the best of your knowledge.Enrollment Application should be filled in by an Enrolling Child’s Parent or Guardian who is 18 years old or above.
All Children 4 years and above are eligible to Enroll.
SECTION I – ASHIRWAD CHILD INFORMATION
*Re-Enrollment:
*First Name:
*Last Name:
*Date of Birth:

Mother Tongue
School:
Grade:
*Home Phone 1:
Home Phone 2:
*Your Home Address:
*City, Zip Code:
Allergies:
MOTHER’S DETAILS
*Name:
Occupation:
Company:
Work Phone:
*Cell Phone:
*Email:
FATHER’S DETAILS
*Name:
Occupation:
Company:
Work Phone:
*Cell Phone:
*Email:
SECTION II – OTHER INFORMATION
Does Enrolling Child know any of the following. Check Mark all that applies.
a) Slokas b) Puranas c) Bhajans d) Yoga e) Dance f) Singing
What are the interest areas of Enrolling Child. Check Mark all that applies.
a) Slokas b) Puranas c) Bhajans d) Yoga
How did you come to know about Ashirwad = A Blessing?
*Do you want to volunteer for Ashirwad = A Blessing’s events?
What are your expectations on Ashirwad Class?
Do you give your consent, for teaching YOGA to your Child?
Above information is completed by {Mention relationship to child}:
I’m authorized to complete above information & sign as a Parent or Guardian for the enrolling Child.
“Ashirwad = A Blessing” shall not be liable for any damage or injury arising out of Ashirwad Class including Yoga, Ashirwad Movie+Pizza Day, Ashirwad Vedic_/\_Fair, Ashirwad Sports>>>Day, Ashirwad Happy:) Day. I/We also Know Ashirwad Vedic_/\_Fair {Free Entry} & Ashirwad Happy:) Day {Ticketed} are Mandatory Events and We agree to attend.
RELEASE OF LIABILITY TERMS (Click here to read) – I further acknowledge that I have read, understood and agreed to abide by “Ashirwad = A Blessing” Guidelines.
AUTHORIZATION AND RELEASE TERMS (Click here to read) – I affirm that I am more than 18 years of age and that I am competent to sign this contract on my own behalf. I acknowledge that I have read the foregoing authorization and release and that I fully understand its contents.