Chinmaya Mission Berkeley Bala Vihar (2019-2020)
Registration form for 2019-2020 school year.
Registration information is available here: https://www.cmsj.org/chinmaya-bala-vihar/location/berkeley
Email address *
Student1 First Name *
Your answer
Student1 Last Name *
Your answer
Student1 Grade Level (for school year 2019-2020) *
Your answer
Student1 Allergies/Medical information
Your answer
Student2 First Name
Your answer
Student2 Last Name
Your answer
Student2 Allergies/Medical information
Your answer
Student2 Grade Level (for school year 2019-2020)
Your answer
Parent1 First Name *
Your answer
Parent1 Last Name *
Your answer
Parent1 Phone No. (10 digits only e.g. 5105551212) *
Your answer
Parent2 First Name *
Your answer
Parent2 Last Name *
Your answer
Parent2 Phone No. (10 digits only e.g. 5105551212) *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone No. (10 digits only e.g. 5105551212) *
Your answer
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