Class Registration

    1. Full Name*:

    2. DOB*:

    3. Parent/Guardian*:

    1. Phone number*:

    2. Email*:

    6. Address*

    7. Program Selected *

    8. Any special requirements/ Allergies:

    9. Children’s pictures to be posted on Kalaa media coverage – Print/Social

    YesNo

    10. Want to be part of the mailing list – for new workshops and regular classes?

    YesNo