 CG- J146, DLF CAPITAL GREEN, Shivaji Marg

New Moti Nagar -110015

Summer Camp From

Name: ______________________________________________________________________

Class: _____________ Age: __________________ Gender: __________________

Date: _____________

Parents Name: _______________________________________________________________

Mobile No / Intercom: ________________________________________________________

Address: ____________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Check list the Activities you are enrolled:

o Art and Craft

o Handwriting
o Clay Modelling
o Language & Communication
o Culinary Art
o Hands on Maths
o Theme based Learning

I hereby declare that all the above details given by me is true.

_______________ ________________

Authority Signature Parents Signature