Membership

Membership Information

Membership donation per family: $500 and $100 for Language classes
Every family must fill out the form. Trial option ends on September 30th of each Academic Year

Parents Information
First Name Last Name Email Address Mobile Phone
(xxx-xxx-xxxx)
Prim. Contact
Sec. Contact
Prim. Contact’s Company
Sec. Contact’s Company
Address
City
State
Zip
Home Phone
(XXX-XXX-XXXX)

Student’s Information

First Name Last Name Date of Birth
(MM/DD/YYYY)
Grade At School Email Address After BV Class

Payment Type
Facility Use
  1. Supervise children at all times and do not allow them to run inside the facility.
  2. For those parents who are not participating in adult study group, you can either sit in the back of the auditorium till the Bala Vihar class is over or leave the facility and come back at 10:45 AM to pick-up. Please do not sit in the classrooms as it distracts the children.
  3. If you are going to leave the facility, please ensure you have one adult responsible for your children in case of emergency.
  4. Parents and students are expected to dress modestly while coming to Chinmaya Haridwar.
  5. Balavihar class attendance is mandatory for participating in language or chanting classes.
  6. No solicitation or distribution of ANY materials allowed on Haridwar premises at any time.
  7. Non-vegetarian food, alcohol, and tobacco are NOT allowed anywhere on the property at any time.
  8. No shoes or food/drink inside the auditorium at any time. Shoes must be removed & kept only on the shoe racks, and must not be kept in the lobby or any other place.
  9. Chinmaya Mission Balavihar encourages safely practices for children, both on and off Mission grounds.
  10. Please signup to assist in cleaning the facility, we are an all-volunteer-organization.

Please initial that you have read the notes regarding the Facility Use numbers 1 through 10 above and agree to comply with it.

If you are registering for the first time, please give us name of the person whom we can thank for the referral. If you have found out about CMP through other means(websearch, posters, etc) please enter that information here:

Waiver and Release In consideration of my family's participation in the above program, I hereby, for myself and my family, waive and release Chinmaya Mission and their officers, trustees, volunteers and members, and all other persons participating in the program, or involved in planning or execution of the program, from all liability or claims arising from any injury to myself, my family or my property.  This release shall include, without limitation, all claims for negligence, and shall exclude only claims for willful injury, which exclusion for willful shall extend only to the person committing willful injury and not to any other person released hereby.  I hereby give permission for my family to have their picture taken while participating in activities associated with Chinmaya Mission. Said pictures become the sole property of Chinmaya Mission and will be used only for recruiting/information-sharing purposes.

Signature (type your name here):

 
 

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