Registration Form

Please fill in the form below and submit it.

First Name
Middle Name
Surname
Date of Birth (DD/MM/YYYY)
Residential Address
Residence Number
Emergency Contact Number
Mother's details
Mother's Name
Mother's Mobile
Name of Organisation
Work phone number
E-Mail ID 1
E-Mail ID 2
Father's details
Father's Name
Father's Mobile
Name of Organisation
Work phone number
E-Mail ID 1
E-Mail ID 2
Program enrolling for Kindergarten
Puddles activity Club
Leapfrog club
Summer Camp
Arts Based Intervention Program
Complementary Learning Program
Transport required Yes No
Daycare required Yes No
Lunch Required Yes No
Food to be avoided (if any)
Any other information

Get in touch with us...

Contact :
 
Nandini: +91 94481 90334
Ravi: +91 98867 00067
nandini@magicpuddles.com 


66 and 67, 'Satyashraya', 2nd Cross, 3rd Phase, JP Nagar, Bangalore 560078.