ENRICHMENT CLASSES 24-25 KANNADA

MEMBER/PARENT NAME

Student Name

Address

This address will receive a confirmation email

Phone

Suggested Donation

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

September 8, 2024 - 1:00 to 1:45PM

Please fill out this form for each of your Child for their enrichment classes. Fee is for one year/