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Chinmaya Mission Boston - 2017
Gita Chanting Competition - Registration
Full Name of Participant
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)
Full Name of Parent
Full Address of Parent
Email ID of parent (eg.
Are you a Chinmaya member?
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 10 members only)
Registration Fee ($5) - Payment needed for regn confirmation - Cash /Cheque etc., - pay to coordinator
Signature of Applicant / Parent (if minor)
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