Re-Enrollment Form | Jai Kumar Dance Institute - Jai Kumar Nair

Re-Enrollment Date

Venue

Andheri West (Days)

Santacruz East (Days)

Batch

Kids & Juniors (Dance Level)

Teens & Adults (Dance Level)

Santacruz 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)

STUDENT INFORMATION:

Student Name

Last Name

Gender

Male

Female

Transgender

Age

CONTACT DETAILS:

I’ve provided the contact details in my earlier submission.

Yes

No / I’d like to update my contact details.

Parent/ Spouse/ Myself

Parent/ Spouse (First Name)

Parent/ Spouse (Last Name)

Phone/Mobile

DECLARATION & 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 code

Apply Coupon

No payment items has been selected yet

JAI KUMAR DANCE INSTITUTE