REVA DANCE COMPANY
REGISTRATION Form 2020 REG NO:
PARTICIPANT NAME (AS PER PASSPORT):
Vinil Madhusudhanan Vimala
DOB & AGE: GENDER: NATIONALITY: NATIVE LANGUAGE:
4/14/2010 10yrs Male Indian Tamil
FATHER'S/MOTHER'S NAME: CONTACT NO: EMAIL ID:
Madhusudhanan. B 00968 96451563 bmsece@gmail.com
SPOUSE / GUARDIAN NAME: CONTACT NO: EMAIL ID:
Nil
ADDRESS:
P.O .Box: 1449, PC 130, Al Athaibha, Sultanate of Oman
LANGUAGES KNOWN:
Tamil, English & Hindi
FEW QUESTIONS THAT WILL ENABLE A SUCCESSFUL DANCE CLASS FOR YOU AND US!
1.Have you learned dance. If so kindly mention the guru names.
No
2. What are your strength's?
Active and vibrant boy, Fast learner, Good listener
3. Will you be interested to be part of our dance productions?
yes
TERMS AND CONDITIONS:
1. 8 session cost Wil be received from the student before starting the session.
2. Received fee will be acknowledged in the email. Refund of coursefee is not possible, if the participant fails to attend.
3. Videos of the adavus and items Wil be charged separately.
DECLARATION:
I/We, further represent and warrant that to the best of my knowledge & belief I am physically and
mentally able to participate in such activities.
I shall abide by the code of conduct of dance class. Follow the instructions as per instructors.
By virtue of joining this dance class , I especially grant permission to the organisation to use my
name, picture, videos, voice in radio, film, newspaper and magazines.
Signature of Participant: Date:
6/29/2020
icipant fails to attend.