JSNE Pathshala Registration Form for the Year September 2016 - June 2017
Note – A child must be in Pre-K and/or 4 years old as of September 2016 to attend the Pathshala. Adult Swathyay members are NOT required to fill out this form – this form is only for students from Pre-K to Grade 12.

(Visit www.jsne.org for Pathshala information)

Family Last Name
Your answer
Father's First Name
Your answer
Mother's First Name
Your answer
1st Preferred Email Address
Your answer
2nd Preferred Email Address
Your answer
Home Phone Number
Your answer
1st preferred Cell Phone Number
Your answer
2nd preferred Cell Phone Number
Your answer
Apt/House #, Street Address
Your answer
City
Your answer
State
Postal/Zip Code
Your answer
Name of Student (#1)
Your answer
Birth Date
MM
/
DD
/
YYYY
School Grade as of 09/2016
Current Pathshala Level
Sponsor (optional)
Add more student?
Next
Never submit passwords through Google Forms.
This form was created inside of Jain Sangh of New England. Report Abuse - Terms of Service - Additional Terms