BMM 2.0 Yuwa Sign-up
Registration form for Yuwa program participants (Minors are required to provide one of the parents contact details)
Email *
First Name  *
Last Name *
Phone *
Age group *
Name of a parent if Minor
Phone of a parent if Minor
Email of a parent if Minor
Outreach Topic of Interest  *
Mandal Affiliation  *
Are you a Mandal Member *
Are you a वृत्त Subscriber *
I hereby give permission to BMM to share my data in its entirety with my affiliated Mandal and/or organizers of BMM initiatives. *
Parent's consent to allow minor's pictures/videos on social media (Please give consent by typing parent's name and phone number)
I understand that BMM initiative participants data is a property of BMM and I agree not to copy/duplicate/distribute participants data to any individual/entity without BMM’s written permission. *
I agree not to solicit any of my/my organization's/third-party work/services to BMM initiative participants without BMM’s written permission. *
A copy of your responses will be emailed to the address you provided.
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