Chinmaya Mission Boston - 2017
Gita Chanting Competition - Registration
Full Name of Participant / Group
Completed age as on Jan 1st 2017 - example - 12 y 3 mo 18 days shall to be treated as 12 years. (Age not needed for Tyagaraja group)
Gender (check other if group comprises both gender)
Full Name of Parent / Leader of group
Full Address of Parent / Leader of group
Email ID of parent / leader of group (eg.
Are you a Chinmaya member? (group can be composed of chinmaya/non-chinmaya members)
If Chinmaya Member, Name of the Mission Center
Name of Balvihar Teacher (say N/A if not applicable)
Group registering for
Dhruva (Age 4 to 6 years)
Prahallada (Age 7 to 9 years)
Markandeya (Age 10 to 12 years)
Narada (Age 13 to 15 years)
Tyagaraja (Age 16 years and above)
Group Registration (Max 12 members only)
If Group, please enter names of the participants in the group. (N/A if not group)
Registration Fee ($5 per participant) - Payment needed for regn confirmation - Cash /Cheque etc., - pay to coordinator
Signature of Applicant / Parent (if minor)
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