Application Form

Welcome to Bala Shruti! We are looking forward to having you as a member! You have come to the right page for registration :)

Please fill up the form below, so we know about your interests and talents. Most parts of the form are optional, so just fill up whatever you feel is relevant. Remember to click after filling out the page!

Questions or comments about this form, please send email to sreenadh@shrutilaya.org

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Applicant Details
Name
Age
(Optional if under 18)
Email
Phone
Parent Details
(Required if under 18)
Parent Name
Parent Email
Parent Phone
Tell us about your Music/Dance background (optional)
Music 1
Type
Guru Name
Years of training
Level
Arangetram done?
Want to perform?
Music 2
Type
Guru Name
Years of training
Level
Arangetram done?
Want to perform?
Dance 1
Type
Guru Name
Years of training
Level
Arangetram done?
Want to perform?
Dance 2
Type
Guru Name
Years of training
Level
Arangetram done?
Want to perform?
Would you like to volunteer for Bala Shruti activities (Front desk, MC, Venue setup, Phone bank etc.) ?
If yes, state your preference (s), or leave blank   
Please enter any additional comments or information you'd like to provide
(especially if you answered "Other" to any question above)

Challenge Word

We hate spammers, but they love us for some reason :(
Please enter the name of the instrument at the left
(five letters, all lowercase) so we know you are a
human who is really interested in Bala Shruti!

Please click to proceed