ANMN Youth Dance Lesson Registration Form – Association of Nepalis in Minnesota

ANMN Youth Dance Lessons 2024

Registration Form

Student Information

Student Name

First

Last

Grade/Class

Age

Does your child understand, and speak Nepali?

No knowledge of Nepali language.
Can understand some Nepali.
Understands and speaks Nepali well.

Does your child have any singing and dancing experience?

Emergency Contacts

Emergency Contact 1

First

Last

Emergency Contact 1 Phone

Emergency Contact 2

First

Last

Emergency Contact 2 Phone

Parents/Guardian's Information

Parents/Guardian's Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Parents/Guardian's Phone

Parents/Guardian's Email

Consent

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