Registration form

August 23, 2023

New Student Registration form

Dear parent,
Please fill and submit below form to register your child/ children for Dhamma School.

I am *a parenta student

Parent / Guardian information

First Name *

Last Name *

Email Address *

Phone Number *

Use this information as Emergency Contact *

Add 2nd Parent / Guardian Information *

Parent / Guardian information (2)

First Name *

Last Name *

Email Address *

Phone Number *

Use this information as Emergency Contact *

Emergency Contact

Prefix

First Name

Middle Name

Last Name

Emergency Contact Person's Email Address *

Emergency Contact Person's Phone *

Pleasse explaine relationship *