Home   Wealth Cal   Admission Form   Group Companies   A school project   A Business   Franchise Form   Fee Structure   Student Profile   Voice of People   Announcement   Media Centre         Admission Form ,    Please fill the below form and we will contact you soon   List children's special needs Child's Name To be called Residing with Primary Address City State Zip Home phone Birthdate Age Secondary Address City State Zip phone List Siblings   Name Age Family Religion Previous School(s) Plan   Preschool a.m.   p.m. (X) Kindergarten a.m.   p.m. All Day a.m.   p.m. Extended Hours from   to Allergies Medications Physical Emotional Other Child’s physician Phone My child’s last physical was given on (date) By physician (Name) Physician's phone   I give authorization for emergency medical treatment and CPR to be given to my child by a first-aid certified staff person of Gurukul Vatika Kindergarden School. Yes No   Where did you learn of Gurukul Vatika School? Friend Magazine School Signs Book Newspaper Website Other   Would you like to participate in a Gurukul Vatika School? Yes No       Father Firm Occupation Email Work Cell Mother Firm Occupation Email Work Cell Guardian Firm Occupation Email Work Cell   The following people are authorized to pick my child: (please include parents) Name Relationship Address Phone           Gurukul Vatika School   I authorize my address and my phone number to be published in the school directory. Yes No I allow school pictures of my child to be included in Gurukul Vatika publications. Yes No I allow my child’s actions to be recorded and studied by Gurukul Vatika teachers-in-training. Yes No I authorize my child to participate in Gurukul Vatika field trips. Yes No   I will drive and have seat belts to take Children.     Name per driver's license Car Make Model Auto Lic Ins. Co. I cannot drive   Tuition Agreement I enroll my child, in Gurukul Vatika School’s full 9½ month school program and intend to complete the entire school year unless unforeseen circumstances arise. I understand that Gurukul Vatika is a 3-year program and that registration of my child in the Gurukul Vatika Kindergarten is expected, but not required. I understand and agree that the registration fee is due upon registration and is non-refundable. I agree to pay monthly tuition payments by the 10th of each month, at the time of registration through April, 2009. I will pay a Rs. 100/- late fee after the 11th of any month. I understand and agree that ½ of the tenth payment is due May 1, 2009, or upon registration, and is non-refundable. The second ½ of the tenth payment is due on May 25, 2010. I agree to give a 30-day notice of withdrawal of my child prior to withdrawal, and to pay in full for that month. (Both parents must sign the school withdrawal form, found on page 29 of the parent handbook.) I understand that the Annual Family Facility Fee is non-refundable. If I withdraw my child before June 15, 2010, I forfeit my prepaid ½ of the tenth payment. I understand that Gurukul Vatika School follows the Kent School District schedule and is closed for Diwali, Christmas, winter and spring breaks & Others Holidays. Full tuition is due for these months. I have read and agree to the school’s policies and fees. I have read Gurukul Vatika School’s Health, Medical, Disaster and Pesticide Policies. I have read Gurukul Vatika School’s Parent Handbook.   Yes No

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