For class details, please visit rehma.co/classes. For questions, please email firstname.lastname@example.org.
Please complete all required* fields. For students under the age of 18 years, this form should be filled by a parent.
Student's Name *
Gender * Male Female
Address Line 1 *
Address Line 2
Phone Number *
This section is applicable for students under the age of 18. Others may skip this section.
Emergency Contact Name (other than parent)
Emergency Contact Phone Number
Tuition for the academic year 2018-2019 (25 classes):
Regular registration: $350
Early-bird registration: $300 (valid up to Aug 15, 2018)
Select course * Hindi Group 1, Sunday morning (8:30 - 9:30 AM) Hindi Group 1, Sunday afternoon (1:40 - 2:40 PM) Hindi Group 2, Sunday morning (8:30 - 9:30 AM) Hindi Group 2, Sunday afternoon (1:40 - 2:40 PM)
Please read the "Terms and Conditions" before completing registration.
Agreement * I certify that all of the above information is accurate and agree to the "Terms and Conditions".
After you click submit, you will be taken to the payment page.