2021-2022 Dharma School Registration Form
2021-2022 Dharma School Registration Form
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Do you want to register your child(ren) for the 2021-2022 Dharma School year? *
If you do not want to register your child(ren) for Dharma School, would you like to remain on our email list?  If so, please choose "Yes", then enter your email, parent/guardian/caregiver's name(s), your child(ren's) information in the appropriate sections, and proceed to the signature section on the bottom of the form.
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Please enter your email address or addresses here.
#1 Parent/Guardian/Caregiver Name (Last, First)
#2 Parent/Guardian/Caregiver Name (Last, First)
Please enter your mailing address here:
Please enter your phone number including area code here:
Student #1:  Last Name, First Name
Student #1:  Birthdate
MM
/
DD
/
YYYY
Student #1:  Grade entering in the fall
Student #1:  School attending in the fall
Student #1:  Food Allergies
Student #2:  Last Name, First Name
Student #2:  Birthdate
MM
/
DD
/
YYYY
Student #2:  Grade entering in the fall
Student #2:  School attending
Student #2:  Food Allergies
Student #3:  Last Name, First Name
Student #3:  Birthdate
MM
/
DD
/
YYYY
Student #3:  Grade entering in the fall
Student #3:  School attending
Student #3:  Food Allergies
Is there anything you need to add regarding your child(ren) that would be helpful to us?
I give my permission for the BCO to take and use photos of my family in the Busshin or publications by the BCO.
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Please enter the name of the Parent/Guardian/Caregiver who completed this form. *
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