HTBN Balwadi Class Registration
Class Start Date: September 19th, 2018, and then every Wednasday
Event Address: Hindu Temple of Bloomington-Normal
Contact Mrs.Prasanna Nethi for more information at 309-660-7546
PLEASE SUBMIT SEPARATE RESPONSE FOR EACH FAMILY MEMBER
Email address *
Student Name *
Your answer
Parent Name *
Your answer
Parent/ Student Phone Number *
Your answer
Group enrolling for *
Sex *
I understand that the fee for this class is $100.00 payable to HTBN. *
Required
A copy of your responses will be emailed to the address you provided.
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