Ashirwad's i-Lifestyle Class of 2018
Ashirwad's Indian Lifestyle Class Enrollment Application
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Complete enrollment application to the best of your knowledge. Enrollment Application should be completed by an enrolling student's Parent or Guardian, who is 18 years old or above. All Children 4 years and above are eligible to enroll.
SECTION I - ASHIRWAD STUDENT INFORMATION
*Re-Enrollment:
*First Name:
*Last Name:
*Date of Birth:

Mother Tongue:
School:
Grade:
*Home Phone:
*Sub Division/Apts Name:
*Home Address:
*City, State Zip:
Allergies:
MOTHER'S DETAILS
*Name:
Occupation:
Company:
Work# :
*Cell Phone:
*Email:
FATHER'S DETAILS
*Name:
Occupation:
Company:
Work# :
*Cell Phone:
*Email:
SECTION II - OTHER INFORMATION
Does enrolling student know any of the following. Check mark all that applies.
Slokas Puranas Bhajans Yoga Dance Singing Indian Language 
What are the interest areas of enrolling student. Check mark all that applies.
Slokas Puranas Bhajans Yoga iLanguage 
Are You Enrolling for i-Language Class?
How did you come to know about Ashirwad Class?
*Do you want to volunteer for Ashirwad Events?
What are your expectations on Ashirwad's Class?
Do you give your consent, for teaching YOGA to your Child?
Above information is completed by :
I'm authorized to complete above information & sign as a Parent or Guardian for the enrolling student.
"Ashirwad A Blessing Temple" shall not be liable for any damage or injury arising out of Ashirwad's i-Lifestyle Class including Yoga, Sports>>>Day, Movie+Pizza Day, Letz Play Holi, VEDIC FAIR, Happy:) Day. I/We also know VEDIC FAIR & Happy:) Day 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 Temple's" 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.