Tamil School Registration

Student Registration Form
This form is to register a student to Sangam Tamil School. Please submit a form for each student. If you have any question, please email us at school@midsouthtamilsangam.org
Student Information
*
First Name
First Name can not be left blank.
Please enter valid data.
Please enter valid data.
This first name is invalid. Please enter a valid first name.
*
Last Name
Last Name can not be left blank.
Please enter valid data.
Please enter valid data.
This last name is invalid. Please enter a valid last name.
Gender
MaleFemale
Please select one.
Please enter valid data.
*
Date of Birth
Please select date.
Invalid Date.
Current School Grade
Select OptionKG123456789101112
Please select atleast one option.
Please enter valid data.
Attended Sangam Tamil School?
Select OptionYESNO
Please select atleast one option.
Please enter valid data.
Parent Information
Father Name
*
First Name
Text field can not be left blank.
Please enter valid data.
Please enter valid data.
*
Last Name
Text field can not be left blank.
Please enter valid data.
Please enter valid data.
Mother Name
*
First Name
Text field can not be left blank.
Please enter valid data.
Please enter valid data.
*
Last Name
Text field can not be left blank.
Please enter valid data.
Please enter valid data.
MSTS Member?
Select OptionMemberNON-Member
Please select atleast one option.
Please enter valid data.
Home Address
Street Address
Text field can not be left blank.
Please enter valid data.
Address Line 2
Text field can not be left blank.
Please enter valid data.
City
Text field can not be left blank.
Please enter valid data.
State / Province / Region
Text field can not be left blank.
Please enter valid data.
Postal / Zip Code
Text field can not be left blank.
Please enter valid data.
Primary Phone
Text field can not be left blank.
Please enter valid data.
Maximum 10 characters allowed.
Please enter valid data.
Alternate Phone
Text field can not be left blank.
Please enter valid data.
Maximum 10 characters allowed.
Please enter valid data.
*
Email Address
Email Address can not be left blank.
Please enter valid email address.
Please enter valid email address.
This email is already registered, please choose another one.
*
Password
Password can not be left blank.
Please enter valid data.
Please enter at least 6 characters.
    Strength: Very Weak
    *
    Confirm Password
    Confirm Password can not be left blank.
    Passwords don't match.
    Passwords don't match.
    Would either of the parent be interested in Volunteering
    Select OptionTeacherCultural VolunteerMagazine EditorCoordinator
    Please select atleast one option.
    Please enter valid data.
    Select Your Payment Gateway
    How you want to pay?
    Payment Summary

    Your currently selected plan : , Plan Amount :
    Coupon Discount Amount : , Final Payable Amount:
    Submit