New Student Registration Form
Surname
First Name
Date of Birth
Gender
Ethnic Background
Name of Parent (if under 18)
Full Postal Address
(including postcode)
Email Address
It is vital that we have your current
email address to keep you informed of
any changes to timetable and updates.
Number 1:
Number 2:
Telephone / Emergency Contact
Do you have any disabilities of
which Milapfest should be aware?
Please tick the activity below on which you wish to enrol *:
* should you wish to enrol in 2 or more activities offered at Milapfest’s Arts School, please fill out a
separate Student Registration Form for each activity. Please note that some class combinations
may not be available due to timetabling constraints.
Bharatanatyam:
Repertoire
Grade 4
Grade 3
Grade 2
Grade 1
Pre-Grade
Beginner
Kathak:
Intermediate
Beginner
Yoga:
Carnatic Vocal:
Beginner
Pre-Grade
Intermediate
Hindustani Violin:
Beginner
Pre-Grade
Intermediate
Hindustani Vocal:
Beginner
Pre-Grade
Sitar:
General class
Keyboard
General
General class
Tabla:
Beginner
Grade 1
Intermediate
Activity Details
A Milapfest Programme
In partnership with
If you would be interested in learning another art
form which is not provided by
Milapfest Arts School, please mention it here:
Previous Experience
Does the candidate have any previous training :
Yes
No
If yes, please state the duration and location of training:
Please describe the level of training :
Student Agreement
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I confirm that I am physically able and fit to take part in dance or music training in Indian Dance
and/or Indian Music at Arts School organised by Milapfest.
I will be responsible for my personal care and belongings and fully responsible for any injury that I
may suffer as a result.
If any music CD or DVD is provided to me to assist my music and dance training, I agree to utilise
it for personal use only, and will not perform or broadcast it publicly in any performance or
showcase without the prior written agreement of Milapfest staff or tutors.
Milapfest records video, photo and audio for documentation. This is used for presentation to
sponsors, funders, promotional material and potential new audiences.
I consent to the use of images strictly for the use by Milapfest for the marketing and promotion of
the organisation and its activities as described above. I understand that images will not be used
in any other way, or passed on to other organisations without my prior consent.
For Parents / Guardians of students under the age of 18:
As the parent/guardian of the student, please confirm your agreement of the following:
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I agree to take the responsibility of the student’s safety, conduct and behaviour before and after
classes.
I understand that Milapfest will not be responsible for children below the age of 18 before and
after classes. (Parents are requested to make sure they are prompt with the pickups for their
children after the lessons).
Milapfest reserves the right to make changes to the term dates and class timings in unavoidable
circumstance.
Milapfest is committed to safeguarding children and vulnerable adults. For more details on our
Child Protection Policy and other safeguarding policies, please contact
Aditi Sen , Administrator and Coordinator of Art School
at [email protected] or 01517228644.
I confirm that I have read and understood all terms and conditions of this agreement:
Date
Print Student Name
Student Signature
Print Full Name
Parent/Guardian ( if under-18)
Signature
Parent/Guardian (if under-18)
A Milapfest Programme
In partnership with
A Milapfest Programme
In partnership with