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