ContractGM - IndianRaga

"*" indicates required fields

Fellowship Location*

Group Name

Name*

Name of the Group Member

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Age Confirmation*

If the Group Member is a minor, parental consent is required for all the remaining fields in this form
Select one of the following two options in the box below:
1. I am the Group Member and I am aged over 18 years.
2.I am the Parent/Legal Guardian of the Group Member who is a minor.

IndianRaga Fellowship Contract*

I have read and understood the terms and conditions of the IndianRaga Fellowship Contract, and accept the same

IndianRaga Fellowship Liability Waiver*

I have read and understood the terms and conditions of the IndianRaga Fellowship Liability Waiver, and accept the same

Name of the person giving consent to documents above.*

Please fill the complete name of Group Member or Parent/Guardian

Date*

Confidentiality*

I understand that I must maintain full confidentiality about our selection until IndianRaga announces IndianRaga Fellows. I also agree to keep all data, documents, written and verbal conversations, production drafts pertaining to IndianRaga Fellowship confidential and not share with anyone outside of the IndianRaga Fellows group.

CAPTCHA

Please read the IndianRaga Fellowship Contract and IndianRaga Fellowship Liability Waiver before giving e-approval