Balavihar Registration 2018-2019

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

Thank you for registering. This registration covers Bala Vihar from January 2019 - June 2019.

Membership

The membership fee of $400 is per family, for the period January 2019 to June 2019
It is mandatory that atleast one parent attend the balavihar sessions.
Membership fee for adults members attending without children is $200 per family
Payments can be made online using PayPal or in person
For payments made via PayPal, you will receive a confirmation of payment from PayPal.
Payments can be made in person by cash, check or credit card (MASTER, VISA and Discover only)
After registration if you select to pay in person, payments should be made on the following Balavihar day
The Membership fee is tax-deductible

Cancellations and Refunds

Cancellation requests made in January 2019 will be refunded after deducting a processing fee of $50.00
There will be no refunds starting from Feburary 2019 for this session.

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

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 2018-2019*

Child #1 Info

First Name*

Last Name*

Date of Birth (mm/dd/yyyy)*

Grade in September 2018*

Child #2 Info

First Name*

Last Name*

Date of Birth (mm/dd/yyyy)*

Grade in September 2018*

Child #3 Info

First Name*

Last Name*

Date of Birth(mm/dd/yyyy)

Grade in September 2018*

Child #4 Info

First Name*

Last Name*

Date of Birth (mm/dd/yyyy)*

Grade in September 2018*

Magazine Subscription

As part of your family membership for 2018-2019 we offer a subscription to one of the three Chinmaya Mission Magazines for no additional cost. However, those adults who are registering wiithout any children have the option of paying an additional $40 if they would like to choose a magazine subscription.

Select from the list below your choice for this annual subscription.

NOTE: Magazine subscriptions are effective from January 2019 thru December 2019.

Please select your magazine of choice*

Spam Protection

Please Click the Box

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Hari Om,

-CMAA Registration.

Thank you. For payments made through PayPal you will recieve a confirmation and receipt from PayPay to the email address that was provided to PayPal.

Please make checks payable to Chinmaya Mission Ann Arbor.

Hari Om,

-CMAA Registration.

Thank you. Your submission has been received. Please bring your payment to Bala Vihar as soon as possible.

Please make checks payable to Chinmaya Mission Ann Arbor.

Hari Om,

-CMAA Registration.