Chinmaya Mission Boston - 2017
Gita Chanting Competition - Registration
Full Name of Participant / Group
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 (check other if group comprises both gender)
Full Name of Parent / Leader of group
Your answer
Full Address of Parent / Leader of group
Your answer
Contact Telephone *
Your answer
Email ID of parent / leader of group (eg. name@gmail.com) *
Your answer
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)
Your answer
Group registering for
If Group, please enter names of the participants in the group. (N/A if not group)
Your answer
Registration Fee ($5 per participant) - 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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