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Dharma School Student Registration 2021
Each student must have form filled out separately. The email address entered on this form will be used by the teacher to send out Dharma School information including the Zoom classroom link. Students must be age 4 by September 1 to register.
For any additional questions, please contact student's teacher.
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* Indicates required question
Student First Name
*
Name of student being registered. Each student must be registered separately.
Your answer
Student Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Student Grade
*
Grade student is enrolled in for 2021/2022 Dharma School school year. If you are a Teachers Assistant, select TA option on the drop down.
Choose
Teacher Assistant (TA)
Nursery
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Name of High School (Seniors Only)
If you or your child is a senior in high school, what school do they attend?
Your answer
Indicate what grade student TAs for (Optional)
If you are a TA, which grade are you assigned to helping with?
Choose
Nursery
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th/8th
Grade TA is in (Optional)
If you are at TA, what grade are you currently in?
Choose
9th
10th
11th
12th
Student Email (9th-12th Grade)
Emails will be used to send student the link to the Dharma school classroom.
Your answer
Name of Sibling(s)
Name of sibling(s) (enrolled in Dharma School) for student being registered. (EX. George Tanaka, Samantha Tanaka, etc.)
Your answer
Sibling Grade
(EX. George Tanaka = Sibling 1, Samantha Tanaka = Sibling 2, etc.) Scroll to the right for more options.
Nursery
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
TA
Sibling 1
Sibling 2
Sibling 3
Sibling 4
Nursery
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
TA
Sibling 1
Sibling 2
Sibling 3
Sibling 4
Primary Guardian/Parent First Name
*
Your answer
Primary Guardian/Parent Last Name
*
Your answer
Primary Guardian/Parent Email
*
Your answer
Primary Guardian/Parent Phone
*
Your answer
Second Guardian/Parent First Name (Optional)
Your answer
Second Guardian/Parent Last Name (Optional)
Your answer
Second Guardian/Parent Email (Optional)
Your answer
Second Guardian/Parent Phone (Optional)
Your answer
Home Address
*
Street Name, City, State, Zip Code (Ex. 2401 Riverside Blvd, Sacramento, CA 95818)
Your answer
Family Temple Member(s)
*
If you are not a member, and would like to become one, follow this link:
https://www.buddhistchurch.org/membership
Choose
Yes
No
Submit
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