South Florida Hindu Temple

2008 – 2009 Education & Cultural Classes Registration Form :

Name

Fathers' Name

Mother's Name

Home Address1

Home Address2

City

State

Zip

E-Mail Id (Required)

10.

Contact No.

(R) : (O) : (Fax No) :

* For Office Use Only

Record No.

SFHT Member

Yes

Total Amount Due

Total Amount Paid

Bal Vihar Class Registration

Student Name

New Student Circle

Age As of Sept.1

Grade As Of Sept. 1

Previously Attended Check & Circle

For Office Use Only

Yes

Yashodabala 1
Yashodabala 2
Nandalala
Krishna 1 or 2
Gopala 1 or 2
Govinda 1 or 2
Mukunda
Yuvaks

Yes

Yashodabala 1
Yashodabala 2
Nandalala
Krishna 1 or 2
Gopala 1 or 2
Govinda 1 or 2
Mukunda
Yuvaks

Yes

Yashodabala 1
Yashodabala 2
Nandalala
Krishna 1 or 2
Gopala 1 or 2
Govinda 1 or 2
Mukunda
Yuvaks

Language Class Registration :

Student Name

New Student Circle

Age As of Sept.1

Grade As Of Sept. 1

Previously Attended Check & Circle

For Office Use Only

Yes

Hindi A/B/C/D
Gujarati A/B
Marathi

Hindi A/B/C/D
Gujarati A/B

Yes

Hindi A/B/C/D
Gujarati A/B
Marathi

Hindi A/B/C/D
Gujarati A/B

Yes

Hindi A/B/C/D
Gujarati A/B
Marathi

Hindi A/B/C/D
Gujarati A/B

For all other classes please check the class or classes you are interested in attending:

No.

Student Name

Age

Previously Attended Check

Adult Study Groups
Adult Gita & Ramayana
Bharatnatyam
Kathak

For Office Use Only :

Fee Schedule :

	For SFHT members			For Non-Members
	Bala Vihar only	Language Class only	Both Classes	Bala Vihar only	Language Class only	Both Classes
1st Child	$200	$120	$255	$230	$155	$310
2nd Child	$155	$95	$200	$180	$115	$235
3rd Child	$110	$60	$135	$125	$75	$160