JAI KUMAR DANCE INSTITUTE Re - Enrollment Form JKDI Re-enrollment Form (#11)Δ Updates Re-Enrollment DateVenue- Select -Santacruz East, KalinaAndheri West, Opp Citi MallAndheri West (Days)- Select -Monday & FridaySantacruz East (Days)- Select -Tuesday & ThursdayBatch- Select -Toddlers (2-3yrs)Kids & Juniors (4-12yrs)Teens & Adults (13yrs & above)Kids & Juniors (Dance Level)- Select -L2 - BeginnerL3 - Beginner AdvanceL4 - ElementaryL5 - Elementary AdvanceL6 - IntermediateL7 - Intermediate AdvanceTeens & Adults (Dance Level)- Select -L2 - BeginnerL3 - Beginner AdvanceL4 - ElementaryL5 - Elementary AdvanceL6 - IntermediateL7 - Intermediate AdvanceSantacruz East - You Pay Santacruz East | Rs. 3500 (15 Sessions) Andheri West - You Pay Rs. 3,500 for 12 Sessions Rs. 9,500 for 36 Sessions. (Save Rs. 1,000) Rs. 18,000 for 72 Sessions. (Save Rs. 3,000) Rs. 23,000 for 96 Sessions. (Save Rs. 5,000)PreviousNextSTUDENT INFORMATION:Student NameLast NameGender Male Female TransgenderAgeCONTACT DETAILS:I’ve provided the contact details in my earlier submission. Yes No / I’d like to update my contact 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/ Bank Transfer)I have a coupon codeApply CouponNo payment items has been selected yetSubmit Previous
