Participant Name*

Date of Birth *

Father Name*

Mother Name*

Mobile No * Please enter 10 Digit Mobile No.

Alternative Mobile No Please enter 10 Digit Mobile No.

Village / City *

Standard / Class Entering* LKG UKG 1 2 3 4 5 6 7 8 9 10

Present School Name

Intrested Activities *

Speaking Skills	Dance & Music	Yoga
Maths Skills	Calligraphy	Horse Riding
Spoken English	Brain Games	Arts & Crafts
Drawing & Painting	Badminton	Board Games
Handwriting Improvement	Cricket	Puzzle Games

Would you like to avail bus facilities? *

No Yes