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Balvihar Registration

2018-19 Pre-K & KG Classes are CLOSED. Email samirkpatel@yahoo.com to be placed on the waitlist.

 BALVIHAR enrollment requires ITA membership. Enrollment is not complete until your membership is verified.

Please email balviharenrollment@gmail.com with questions.
  Registration Details   
Child's First Name:
Child's Last Name:
Mother's First Name:
Mother's Last Name
Mother's Phone No: -
Mother's Email Address
Father's First Name
Father's Last Name
Father's Phone No: -
Father's Email Address:
Emergency Contact No:
Child's School Grade in September.:
Balvihar Donation :
$
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:     
Yes,  
 
Terms and Conditions
The parent or legal guardian for the above registered child (hereinafter “Participant”) acknowledges the community, religious and philanthropic purposes of the Bal Vihar program of the India Temple Association, Inc., its affiliates and program partners (hereinafter the “ITA”).
By registering child, the parent or legal guardian gives full permission for the child to participate in all activities conducted by the ITA. The parent or legal guardian will also ensure his/her child attends the Bal Vihar classes, group activities or excursions regularly and ON TIME and will take personal interest in what the child is taught in the class and cooperate with the teachers/volunteers. The parent or legal guardian gives the ITA full permission to publish the name and photographs of the Participants in any and all ITA literature, websites and newsletters.
In Consideration of the Participant being allowed to participate in the functions, programs and activities held by the ITA, the parent or legal guardian hereby agrees, on behalf of the Participant and his or her heirs, legal representative guests and invitees, that the Participant hereby accepts and assumes any and all risks resulting from attendance and participation at such functions and activities: the Participant hereby releases the ITA directors, officers, members, volunteers and agents from any and all claims, liability, fines or other matters arising from such attendance or participation: the Participant herby agrees to indemnify, defend and hold harmless the ITA, its officers, members, volunteers and agent from any and all claims, demands, expenses and liability, whether for personal injury, death, property damage, violations of law, or otherwise which is caused by the Participant and which in any way arises of or relates to the ITA function or activity.
Note to Non-English Speakers: This is a legal waiver of liability. By agreeing above you herby release ITA from any and all risks from participation in this activity. Your agreement acknowledges and confirms your full understanding of such waiver.
 
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December Community Service
 
 
 
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