Zoom Balvihar Enrolment Form 2021
Starts 14th of Feb 2021
Sunday's 10am to 11am
Zoom link will be sent out once you have registered
Email Address of person filling the form
Full Name of the Child
Gender of the Child
Date of Birth of the child
Which term would you like to enroll for?
Term 1 2021 - 14th Feb to 18th April
Term 2 2021 - 9th May to 11th July
Term 3 2021 - 1st Aug to 3rd Oct
Term 4 2021 - 24th Oct to 12th Dec
Full Year 2021
Which city do you live in?
Name of Mother/Father
Mobile number of Mother/Father
Donations for Balvihar 2021
Per term: $45.00
Mode of Payment of Donation
Online: 02-0192-0290929-00 Ref: <Name of Child> - <Zoom> e.g. Ram - Zoom
We (parents/guardians) hereby consent our child to attend the online Balvihar program as chosen above
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This form was created inside of Chinmaya Mission New Zealand.