HINDI: Registration for 2018-2019 session

DummySection

DummySection

Rehma

For class details, please visit rehma.co/classes. For questions, please email hello@rehma.co.


Please complete all required* fields. For students under the age of 18 years, this form should be filled by a parent.

Student's Name

Student's Name *

Additional Information for Minors

Additional Information for Minors

This section is applicable for students under the age of 18. Others may skip this section.

Parent's Name

Parent's Name

Physician's Name

Physician's Name

Emergency Contact Name (other than parent)

Emergency Contact Name (other than parent)

Course Registration

Course Registration

Tuition for the academic year 2018-2019 (25 classes):

  • Regular registration: $350

  • Early-bird registration: $300 (valid up to Aug 15, 2018)

Please read the "Terms and Conditions" before completing registration.

After you click submit, you will be taken to the payment page.

Powered by PandaForm.com