ANMN Youth Nepali Language Class Registration Form – Association of Nepalis in Minnesota

ANMN Youth Nepali Language Class 2024

Registration Form

Student Information

Student Name

First

Last

Grade/Class

Age

Does your child understand, and speak Nepali?

Doesn't understand or speak Nepali.
Understands some, but doesn't speak.
Undertands and speaks Nepali well.

Emergency Contacts

Emergency Contact 1

First

Last

Emergency Contact 1 Phone

Emergency Contact 2

First

Last

Emergency Contact 2 Phone

Parents/Guardian Information

Parents/Guardian's Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Parents/Guradian Email

Any questions or comments?

Consent

By submitting this form, I acknowledge that I have read and agree to abide by ANMN's rules and regulations. I understand that the ANMN is not responsible for any loss, injury, or damage that may occur during the lessons period.