Reedley Dharma School Student Registration
2024-2025
Email *
Student Name *
Grade in School *
Birthdate *
MM
/
DD
/
YYYY
Food Allergies
Parent/Guardian Name(s) and Phone # *
Home Address *
Emergency Contact (other than parent) with Phone # *
E-signature of Parent/Guardian *
I/We would like information on becoming a member of the Reedley Buddhist Church. *
Grandparent Name(s) and Address(es) (for Grandparents' Tea)
Grandparent Name(s) and Address(es) (for Grandparents' Tea)
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