Raga Jam Registration Group -

Name*

Please fill the applicant's complete name here.

Email*

Phone*

Address*

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

Category*

Location*

Age Confirmation*

If the Raga Jam Participant 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 Raga Labs Participant and I am aged over 18 years.
2. I am the Parent/Legal Guardian of the Raga Labs Participant who is a minor

Name of the person giving consent to Contract and Waiver Form below*

Please fill the complete name of Raga Jam Participant or Parent/Legal Guardian

Please Read the Contract and give your consent*

I have read the Contract and agree with the terms and conditions mentioned there in.

Please Read the Waiver Form and give your consent*

I have read the Waiver Form and agree with the terms and conditions mentioned there in.

Please Read the Important Points to be noted and give your consent*

I have read the Important points and agree with them

Additional information (optional)

Payment Details*

Please transfer program fee through paypal to info@indianraga.com and submit the transaction details here.
Please use "family and friends option" while making the payment

Amount paid*

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