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Chinmaya Mission Cleveland Bala Vihar Registration (2018-19)
Enrollment form for September 2018 to May 2019 session. Please email chinmayaCLE@gmail.com for any form problems/questions and make sure to visit www.chinmayamissioncleveland.org for more information. Registration is per family.

Registration is a two step process, Step 1 - please fill out the form below in its entirety, Step 2 - make payment per instructions below on the JotForm link and record the confirmation # to complete the registration.

Please Note: In order to attend language and arts classes (for both adult and kids), you must be registered for Bala Vihar

The location of Bala Vihar and Adult Classes has not been finalized yet. We will send an email to confirm the location. We apologize for any inconvenience this may cause.

********* Please note Sunday sessions are from 10:00 AM - 12:30 PM *********

New Location: Strongsville High School (Address: 20025 Lunn Rd, Strongsville, OH 44149)

10:00am - 11:00am
For all Bala Vihar registrants, the following language classes are offered concurrently:
Language: Hindi / Sanskrit / Telugu
Arts: Bharatanatyam Class

11:00am - 12:00pm
Bala Vihar Classes
Tejomaya - Age 3 - Age 5 (Kindergarten)
Chinmaya - Grades 1 and 2
Tapovana - Grades 3 and 4
Viveka - Grades 5 and 6
Shankara - Grades 7 and up

11:00am - 12:00pm
Adult Class (While kids are attending the Bala Vihar class, parents can engage in Live Online Discourse by Acharya Vivekji (Vedanta in Ramayana)

12:00pm - 12:30pm
General Assembly

Email address *
Parent/Legal Guardian Name *
Please provide full name of registering parent (2nd Parent/Guardian can be listed in next Item)
Your answer
Additional Parent/Legal Guardian Name *
Please provide full name of 2nd Parent/Legal Guardian
Your answer
Additional Parent(s) / Legal Guardian Email addresses *
Please list email addresses that CM-CLE should use to send announcements and other important information about Bala Vihar. Use Commas to separate multiple addresses.
Your answer
Mailing Address *
Please give your full postal mailing address, including zip code
Your answer
Home Phone number *
Please give us your home contact phone number
Your answer
Cell Phone number
Please give us your cellular contact phone number
Your answer
Name of 1st Child/Student Enrolling *
Your answer
Date of Birth of 1st Child/Student enrolling (if Adult, no response is required)
MM
/
DD
/
YYYY
Grade Level of 1st Child/Student Enrolling (as of 9/9/2018). If Adult, no response is required
Your answer
For 1st Child/Student - Choose Language / Arts (If interested; please check one)
Name of 2nd Child/Student Enrolling.
Your answer
Date of Birth of 2nd Child/Student enrolling. If Adult, no response is required
MM
/
DD
/
YYYY
Grade Level of 2nd Child Enrolling (as of 9/9/2018). If Adult, no response is required
Your answer
For 2nd Chid/Student - Choose Language / Arts (If interested; please check one)
Name of 3rd Child/Student Enrolling. If Adult, no response is required
Your answer
Date of Birth of 3rd Child/Student enrolling. If Adult, no response is required
MM
/
DD
/
YYYY
Grade Level of 3rd Child/Student Enrolling (as of 9/9/2018). If Adult, no response is required
Your answer
For 3rd Child/Student - Choose Language / Arts (If interested; please check one)
Volunteering
Chinmaya Mission Cleveland programs rely entirely on the service (“seva”) offered by volunteers. Please let us know your interests in volunteering
Chinmaya Mission Cleveland Bala Vihar Liability Waiver and Release ** PLEASE READ ENTIRELY ** *
In consideration of your acceptance of my child/children’s participation in the above program, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Chinmaya Mission Cleveland, their officers, officials, agents, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the program (RELEASEES), WITH RESPECT TO ANY AND ALL CLAIMS FOR INJURIES, LOSS OF LIFE, DISABILITY, DAMAGES, OR LOSS to person or property even if from negligence of the releasees or otherwise, to the fullest extent permitted by law. You must check both boxes below.
Required
Family Registration Fee (Enter Confirmation # of submission in comments) *
Please click on the JotForm link below to make the payment for the Family Registration. Payment is $350/Family (after 8/27/18). Under 'Reason for Payment'' please write Chinmaya Mission Cleveland Bala Vihar. Click this link for making payment using credit card (https://form.jotform.us/72144115599156). You will receive an email with the confirmation number for payment. Upon receipt of the confirmation number in your email, please continue with this form and complete it. You will receive an email of your registration after you submit this form. (Please Note: In order to attend language and arts classes, you must be registered for Bala Vihar)
Required
Fee Confirmation and Comments *
Please use this box to write your confirmation # for fee payment using the JotForm link provided above. Also, if you have any other information to provide or general feedback, please let us know. Hari OM!
Your answer
A copy of your responses will be emailed to the address you provided.
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