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Balvihar Registration

2021 / 2022 Enrollment Form (Pre-enrollment only)

Enrollment is not complete until your ITA membership and payment are verified. Balvihar contribution is not refundable. 

If you get a “Grade or Class is full” message, please email bvadmin@indiatemple.org to be added to waitlist.

  Registration Details   
Child's First Name:
Child's Last Name:
Primary Parent Contact First Name:
Primary Parent Contact Last Name
Primary Parent Contact Phone No: -
Primary Parent Contact Email Address
Secondary Parent Contact First Name
Secondary Parent Contact Last Name
Secondary Parent Contact Phone No: -
Secondary Parent Contact Email Address:
Emergency Contact No:
Child's Email (Encouraged for 4-8th grade)
Child's School Grade in September.:
Balvihar Contribution :
$
Additional Donation/Food Sponsor Amount:
$
Total Invoice Amount :
Are you Interested in Volunteering at Balvihar:
Yes  No
Are you Interested in sponsoring lunch or donating to Balvihar?
Yes  No
Signature of Parent:
Date:
Enter Code:     
 
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