Gurukul Registration Form

Email Address *

Name of Parent (First and Last Name) *

Name and Age of Child *

Name and age of any other children (please separate names by commas)

Phone Number (in case of emergency) *

Address (in case of emergency) *

Does your child have any food allergies? *YesNo

If your child does have a food allergy, please specify

Temple Information

Phone: (513) 528-3714

Mailing Address (ONLY): 4920 Klatte Road, Cincinnati, Ohio 45244