JAI KUMAR DANCE INSTITUTE New Enrollment Form JKDI New Enrollment Form (#3)Δ Enrollment DateVenue- Select -Mumbai-Andheri West, Opp Citi MallMumbai-Santacruz East, KalinaMumbai-Bandra East, Opp M.I.G ClubPune-PashanAndheri West (Days)- Select -Monday & FridaySantacruz East (Days) - Select -Tuesday & ThursdayBandra East (Days)- Select -Monday, Wednesday, FridayBatch- Select -Kids & Juniors (4-12yrs)Teens & Adults (13yrs & above)Time- Select -Kids | Santacruz East (7:00pm to 8:30pm)Kids | Bandra East (6:00pm to 7:00pm)Kids | Andheri West (6:15pm to 7:00pm)Teens & Adults | Santacruz East (8:30pm to 9:30pm)Teens & Adults | Andheri West (7:00pm to 8:00pm)Pune - PashanDance Level- Select -Kids Fun DanceTeens & Adults Beginner/ AdvanceSantacruz East - You Pay Rs. 3500 (15 Sessions) Bandra East - You Pay Rs. 3500 (15 Sessions) Andheri West - You Pay Rs. 3,500 for 15 Sessions Rs. 2,500 for 8 Sessions Rs. 6500 for 24 Sessions. (Save Rs. 1,000) Rs. 11,500 for 48 Sessions. (Save Rs. 3,500)Pune - You Pay Rs. 2200 (8 Sessions) PreviousNextPERSONAL DETAILS:Student NameLast NameGender Male Female TransgenderPassport Size Photo Upload (Required for an identity card)Choose File Date of BirthAgeResidence AddressAddress Line 1Address Line 2CityStateZip CodeCountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweCONTACT DETAILS:Parent/ Spouse/ Myself - Select -FatherMotherHusbandWifeMyselfParent/ Spouse (First Name)Parent/ Spouse (Last Name)EmailPhone/MobilePreviousNextDECLARATION & PAYMENT:Student Medical History I hereby certify that I am / my child is perfectly fit to join JK Dance Program and accept the JKDI Rules and Regulations which I have read and understood and have a copy of the same. The organizer / Instructor/ Faculty / JK Dance Institute cannot be held responsible for any injury/sprain/fracture/trauma sustained during the exercise or dancing sessions.Payment Method Pay Offline (UPI: iamjuzjai@dbs) or Cash Pay Online with Razorpay (Gpay/ PayTm/ UPI)I have a coupon codeApply CouponNo payment items has been selected yetSubmit Previous Back to JKDI page