Preferred Paathshala Centre *
JoondalupRivertonSubiacoCanning ValeOnline

Would you like to volunteer for Paatshala or Hindi Samaj activities *
YesNo

Does the student have any Medical condition / Allergies to be aware of? *
If you answer YES to this question, please email the details of the allergy to paathshalaprincipal@hindisamajwa.org
YesNo

If answered 'Yes' to the question above, please provide details. If no, please type NA *

Do you consent to the student's photo/video being taken during Paathshala classes or activities and used on HSWA or Paathshala social media/ print forms? *
YesNo

In case of an emergency, do we have your consent to call the ambulance on behalf of the student? *
If a student becomes unwell while in attendance, we will contact the parent. If the parent does not respond, we will send a text.

YesNo

Enrolment Fee Type *
If you need to buy books as well, please pay $20 for set of books for the year

Term Fee only - $75 per term per childTerm Fee only (sibling) - $65 per term per childTerm Fee + Books - $95 per childTerm Fee + Books (sibling) - $85 per childOnline only student - $50 per term per childPrivate Tuition (Child) - $25 per hour per personPrivate Tuition (Adult) - $30 per hour per personTerm Fee only - $200 per term (Adult) per person

I have made the payment for enrolment Details of Bank Transfer Account Name - Hindi Samaj of WA BSB - 036 077 Account - 530 442 *
Please add student first name & Term number in the payment reference
YesNo

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