You are on page 1of 3

Passport

KALARI KENDRAM DELHI size


Registration form Photograph

Student Name ________________________Age______ Birthdate ________________________


Address_______________________________________________________________________
City _____________________________ State __________Pin __________________________
Cell Phone _______________________ Email Address_________________________________
Occuption_____________________________________________________________________
Parent or Guardian_______________________ Phone/Mob _____________________________
Emergency Contact No (other than parent/guardian) ___________________________________
Name__________________ Relationship to student ___________________________________

Describe any other medical condition you feel we should be aware of (Fractured, Injury, asthma, etc.)

______________________________________________________________________________
There are no refunds given for any reason. I understand that if my child or I withdraws from the program, that all
fees and deposits are 100% nonrefundable.

By signing this form, the parent/adult is assuming any and all responsibility for the student, including financial
obligations.

Signature _______________________ Date of Join_________________________


(Father/Mother/Guardian)

Thank you for registering with KALARI KENDRAM! We hope you have a wonderful Time!
Kalaripayattu has been categorized in four phases,

Meithari: It is the beginning stage with rigorous body sequences involving leg exercises, twists,
stances and complex jumps and turns.

Kolthari: students are introduced to fighting with wooden weapons for self defense

Ankathari: training starts with metal weapons, which requires superior concentration due to its lethal
nature

Verumkai: students are taught to defend themselves with bare-handed techniques.

Duration:

Minimum 15 months for every stage with the hard work and dedication

Class timings & Fee:-

Session 1

Week days: MON WED & FRI

Timings: 5.30PM to 6.30 PM / 6.30 PM to 7.30 PM

Fee Option1: Adult 2500/Month / Child below 14 years 3000/for 2 Month

Fee Option 2: Adult 6000/ for 3 Month / Child below 14 years 3000/ for 2 Month

Admission fee: 1000 / one time on admission

Session 2

Weekend: - Sat & Sun

Timing: - 10:00 AM to 11:00 AM / 11:00 AM to 12:00 PM

Fee Option1: Adult 2500 Month / Child below 14 years 3000 / for 2 Month

Fee Option 2: Adult 6000 for 3 Month / Child below 14 years 3000 / for 2 Month

Admission fee: 1000 / one time on admission

Age Limit:

Minimum 6 Yrs. & above all

Admissions are allowed only during class timings / No Accommodation / No Hostel Facility Available

We have no other branches in Delhi & Ncr / Feel free to contact for any further information
AGREEMENT AND LIABILITY WAIVER

PLEASE INITIAL WHEN READ CAREFULLY AND AGREED UPON. THIS IS A


LEGAL AGREEMENT AND LIABILITY WAIVER.

X_____________ I, the undersigned, In consideration of being accepted as a member, agree to abide by


the constitution and bylaws of this organization and all applicable rules and regulations of KALARI
KENDRAM, (Traditional Martial art Academy for Kalaripayattu).

X______________I, the undersigned, further, do hereby, for myself, my heirs, executors,


Administrators, and assigns waive, release, and forever discharge any and all rights and claims for
damages which I may have or which hereinafter accrue to me against this KALARI KENDRAM (Traditional
Martial Art Academy for Kalaripayattu), including employees, and instructors, for any damages which
may be sustained and suffered by me in connection with my association with or entry in any practice,
class, contest, tournament, examination, demonstration, testing, promotions, or any athletic event of
the school, or which may arise out of my traveling to, participating in, or returning from such endeavors.

X______________I, the undersigned, further agree to waive any claims against Kalari Kendram and
other instructors connected with Kalari lessons, demonstrations or tournament championships for any
injuries I may sustain.

X______________I, the undersigned, fully understand that KALARI is a CONTACT SPORT, and I am
responsible for my own medical coverage.

Note: Need to write your Name after X

By _____________________________________ Date of Join _________________________


Students Signature

By _____________________________________ Date of Join _________________________


Parent /Guardian (if minor)

You might also like