Chinmaya Mission Boston - 2017
Gita Chanting Competition - Registration
Full Name of Participant
Your answer
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)
Your answer
Gender
Full Name of Parent
Your answer
Full Address of Parent
Your answer
Contact Telephone
Your answer
Email ID of parent (eg. name@gmail.com)
Your answer
Are you a Chinmaya member?
If Chinmaya Member, Name of the Mission Center
Name of Balvihar Teacher (say N/A if not applicable)
Your answer
Group registering for
Registration Fee ($5) - Payment needed for regn confirmation - Cash /Cheque etc., - pay to coordinator
Your answer
Signature of Applicant / Parent (if minor)
Your answer
Submit
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