Balavihar Registration 2017-2018

Hari Om! Welcome to the Chinmaya Mission Ann Arbor Bala Vihar!

Balavihar is a family oriented, time tested program, with over 700 families as part of the Chinmaya Mission Ann Arbor family.

This registration covers from September 2017 - June 2018, for the Troy, Novi, Ann Arbor, Canton, and Lansing Bala Vihars.

Membership.

The Annual membership fee is per family with children in the Troy, Novi, Ann Arbor, Canton and Lansing Balavihars
Membership fee includes the payment for Balavihar from September 2017 - June 2018
Membership fee is $550 per family.
Membership fee for adults members attending without children is $200 per family.
After registration, payments should be made on the first following Balavihar day.
Payments can be made in person by cash, check or credit card (MASTER, VISA and Discover only)
For payments to be applied in a timely fashion, please make your payments at the Balavihar in person.
The Membership fee is tax-deductible
Please make checks payable to Chinmaya Mission Ann Arbor.
Please only include children to be enrolled in Bala Vihar.
We are no longer able to offer a trial period.

Cancellations and Refunds

Cancellation requests made before the first day of Balavihar for the academic year will be refunded after deducting a processing fee of $25.00.
Cancellations after the first day of Balavihar will be prorated accordingly

Please have your payment information ready when filling out this form, as it will be required to submit the form successfully.

Chinmaya Mission Ann Arbor is a 501(c)3 tax-exempt organization. The Federal Tax ID Number is 38-3223034.

If you have any questions or concerns, please email cmaawebsite@gmail.com. If you are using Chrome, and you are experiencing difficulties with submitting the form, please try again or use a different web browser.

Thanks!

Location Selection

Please select the Bala Vihar you would be attending.

Desired Balavihar Location*

Parent's Information

Mother's Information

Mother's First Name*

Mother's Last Name*

Mother's Cell Phone

Mother's Cell Phone Carrier

Father's Information

Father's First Name*

Father's Last Name*

Father's Cell Phone

Father's Cell Phone Carrier

Address

Has your address changed since the last registration?* Yes No

Street Address*

City*

State*

Zip Code*

Home Phone*

Primary Email Address*

Confirm Primary Email Address*

Secondary Email

Payment

Payment is by check or credit card in person only. Please record the check number below or write CC and last 4 digits of the credit card for credit card payments. Please bring the check/CC to Bala Vihar immediately.

Check # / CC and last 4 digits of the card for Credit Cards*

Children information

Select number of kids you are registering for 2017-2018*

Child #1 Info

First Name*

Last Name*

Date of Birth (mm/dd/yyyy)*

Grade in September 2017*

Child #2 Info

First Name*

Last Name*

Date of Birth (mm/dd/yyyy)*

Grade in September 2017*

Child #3 Info

First Name*

Last Name*

Date of Birth(mm/dd/yyyy)

Grade in September 2017*

Child #4 Info

First Name*

Last Name*

Date of Birth (mm/dd/yyyy)*

Grade in September 2017*

Magazine Subscription

As part of your membership for 2017-2018 we offer subscription to one of the three Chinmaya Mission Magazines for an additional cost of $40 per subscription. Select from the list your choice for this annual subscription.

NOTE: Magazine subscriptions are effective from January 2018 thru December 2018.

Please select your magazine of choice*

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