Student Registration – Dharmashoka

Student Registration Form

Student Name *

First

Middle

Last

Student Date of Birth *

dd/MM/yyyy

Parent / Guardian Name *

First

Middle

Last

Parent / Guardian Email *

Confirm Email *

Parent / Guardian Contact Number (Mobile) *

Home Address *

House/ Flat Number & Street/ Road

Town/City

County

Postcode *

Emergency Contact 1 (Name) *

First

Last

Contact Number *

Emergency Contact 2 (Name) *

First

Last

Contact Number 2 *

Terms and Agreement *

I agree to register my child with Leicester Dharmashoka Dhamma School (LDDS) to provide Dhamma education & comply with its policies
I agree for LDDS to take photographs, record audio/ videos of child in accordance with its Photography & Filming Policy.
I agree to provide some personal information relating to my child for the purpose of Dhamma School curriculum related matters and understand that information is retained securely.