Chinmaya Birmingham 2017-18 Registration

  • strict warning: Only variables should be passed by reference in /home1/chinmay3/public_html/sites/all/modules/captcha/captcha.inc on line 61.
  • strict warning: Non-static method view::load() should not be called statically in /home1/chinmay3/public_html/modules/views/views.module on line 879.
  • strict warning: Declaration of views_handler_filter::options_validate() should be compatible with views_handler::options_validate($form, &$form_state) in /home1/chinmay3/public_html/modules/views/handlers/views_handler_filter.inc on line 589.
  • strict warning: Declaration of views_handler_filter::options_submit() should be compatible with views_handler::options_submit($form, &$form_state) in /home1/chinmay3/public_html/modules/views/handlers/views_handler_filter.inc on line 589.
  • strict warning: Declaration of views_handler_filter_boolean_operator::value_validate() should be compatible with views_handler_filter::value_validate($form, &$form_state) in /home1/chinmay3/public_html/modules/views/handlers/views_handler_filter_boolean_operator.inc on line 149.
  • strict warning: Declaration of views_plugin_row::options_validate() should be compatible with views_plugin::options_validate(&$form, &$form_state) in /home1/chinmay3/public_html/modules/views/plugins/views_plugin_row.inc on line 135.
  • strict warning: Declaration of views_plugin_row::options_submit() should be compatible with views_plugin::options_submit(&$form, &$form_state) in /home1/chinmay3/public_html/modules/views/plugins/views_plugin_row.inc on line 135.

This form is for 2017-18 Bala Vihar and Gita class registration. 

1. A completed registration form from an adult is required from every attending family whether you have a child attending Bala Vihar program or not. A child may not be enrolled without his/her parents' or guardian's enrollment and participation in adult classes. Please note that a parent or guardian is recommended to attend the adult class while children are in Bala Vihar.

 

2. All Program activities are notified by e-mail. Please make sure to check your e-mail regularly. Please add the email Chinmayaal@gmail.com to your contact list to avoid program mails going to your junk mail box.

 

3. The completed Registration forms are due by Aug 10th and payment are due by Aug 19th, 2017. This year you are required to submit the registration form online using the following form.

4. A calendar will be available on the opening day on August 19th, 2017.

5. The program will be conducted in meeting rooms at Homewood Public Library and occasionally the venue may be changed. All Program changes will be notified only by email. You may also subscribe to our Twitter messages.

 

6. Submission of this form allows Chinmaya Mission and Chinmaya Mission Birmingham to reproduce or publish in print or electronic media photos of you, your child or family participating in any event sponsored by Chinmaya Mission Birmingham. To exclude you or your child from this option you must give a written statement to the co-ordinator of Chinmaya Mission Birmingham.

 

7. Complete the following form and click submit button. Payment may be made in the form of check preferably on the inauguration day or mail it to the Treasurer's Address: 4988 Provence Cir Birmingham Al 35242

 

ATTENTION: YOU DO NOT NEED TO LOGIN TO SUBMIT THE FOLLOWING FORM

Enter first name and last name of one parent or adult in the family. Name of the parent primarily responsible for child's attendance preferred.

Your street address, city and zip code are needed.  Please complete it correctly.

Make sure this email address is spelled correctly.

no hyphens, example 2059991212

No hyphens, example format 2059991212

Write first name and last name

Child must be 3 years old or above to register. Write age only in years, no months or fractions.

Select male or female for this child. If no child select N/A.

In which grade will this child attend in regular school during academic year 2017-187?

First name and last name of your second child. If you do not have more than one child enrolling please leave this column and columns for child 3 blank.

Child must be 3 years old or more to register. Write age only in years, no months or fractions.

Select male or female for this child. If no child select N/A.

In which grade will this child attend in regular school during academic year 20176-187.

Age in years only

Select male or female for this child. If no child select N/A.

In which grade will this child attend in regular school during academic year 2015-16?

Suggested registration donation per family is $150. There may be additional costs for books etc. This will be communicated to you by the respective teachers. SEE ITEM #7 ABOVE FOR PAYMENT INFORMATION.

If you would like to make additional donation to Chinmaya Mission Birmingham please enter the amount here. ENTER 0 (ZERO) if you do not want to make additional contribution. ALL DONATIONS ARE TAX DEDUCTIBLE. SEE ITEM #7 ABOVE FOR PAYMENT INFORMATION. Make one payment for total amount

Add your comments here. We read them. You may use this space if you have more than three children planning to attend; provide their details here.

CAPTCHA
The following math problem is to confirm you are a human and to prevent automated spam submissions.
2 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.