Chinmaya Mission Cleveland Bala Vihar Registration (2020-2021)
Enrollment form is for the Bala Vihar year September 2020 to May 2021.  DUE TO THE COVID-19 CHALLANGES, THIS YEAR THE CLASSES WILL BE HELD ONLINE VIA ZOOM.  Please email chinmayaCLE@gmail.com for any form problems/questions and make sure to visit www.chinmayamissioncleveland.org for more information.

Registration Fees: $xxx/family

Registration is a two-step process,
Step 1 - Fill out the form below in its entirety
Step 2 - Make payment per instructions below on the JotForm link and record the confirmation # to complete the registration.

Please Note:
One Registration per family is required.
Your Bala Vihar registrations also offers you the option to choose between one of the Language classes (Hindi and Sanskrit) or Arts (Yoga and Bhajan); Bala Vihar registration is mandatory to attend these classes.
Parental attendance in Vivekji's Discourse (Vedanta in Bhagavatam) is mandatory.


********* Please NOTE New Timings for Sunday sessions: 9:30 AM - 12:00 PM *********

Location:    Online Via Zoom

9:30am - 10:30am (the following language and arts classes are offered concurrently):
Language (Optional): Hindi / Sanskrit
Arts (Optional): Yoga / Bhajan

10:30am - 11:00am: General Assembly (Mandatory)

11:00am - 12:00pm: Bala Vihar Classes (Mandatory)
Tejomaya - Age 3 - Age 5 (Kindergarten)
Chinmaya - Grades 1 and 2
Tapovana - Grades 3 and 4
Viveka - Grades 5 and 6
Shankara - Grades 7 and up

11:00am - 12:00pm: Adult Class (While kids are attending the Bala Vihar class, parents can engage in Live Online Discourse by Acharya Vivekji (Vedanta in Bhagavatam)


Sign in to Google to save your progress. Learn more
CHINMAYA CLEVELAND
Parent/Legal Guardian - Last Name *
Please provide Last name of registering parent (2nd Parent/Guardian can be listed in next Item)
Parent/Legal Guardian - First Name *
Please provide First name of registering parent (2nd Parent/Guardian can be listed in next Item)
Parent / Legal Guardian Email address *
Please list email address that CM-CLE should use to send announcements and other important information about Bala Vihar.
Additional Parent/Legal Guardian - Last Name *
Please provide full name of 2nd Parent/Legal Guardian
Additional Parent/Legal Guardian - First Name *
Please provide full name of 2nd Parent/Legal Guardian
Additional Parent(s) / Legal Guardian Email addresses *
Please list email addresses that CM-CLE should use to send announcements and other important information about Bala Vihar. Use Commas to separate multiple addresses.
Mailing Address *
Please give your full postal mailing address, including zip code
Primary Phone number (XXX-XXX-XXXX) *
Please give us your home contact phone number
Additional Phone number (XXX-XXX-XXXX)
Please give us your cellular contact phone number
1st Child/Student Enrolling - Last Name *
1st Child/Student Enrolling - First Name *
Date of Birth of 1st Child/Student enrolling (if Adult, no response is required)
MM
/
DD
/
YYYY
Grade Level of 1st Child/Student Enrolling (as of 9/8/2019).  If Adult, no response is required
For 1st Child/Student - Choose one if interested
2nd Child/Student Enrolling - Last Name
2nd Child/Student Enrolling - First Name
Date of Birth of 2nd Child/Student enrolling.  If Adult, no response is required
MM
/
DD
/
YYYY
Grade Level of 2nd Child Enrolling (as of 9/8/2019).  If Adult, no response is required
For 2nd Chid/Student - Choose one if interested
3rd Child/Student Enrolling - Last Name
3rd Child/Student Enrolling - First Name
Date of Birth of 3rd Child/Student enrolling. If Adult, no response is required
MM
/
DD
/
YYYY
Grade Level of 3rd Child/Student Enrolling (as of 9/8/2019). If Adult, no response is required
For 3rd Child/Student - Choose one if interested
How did you hear about Chinmaya Cleveland *
Please let us know how you heard about us
Required
Volunteering
Chinmaya Cleveland programs rely entirely on the service (“seva”) offered by volunteers. We encourage active volunteering in all our events, please choose one or more and a Chinmaya Cleveland Sevak will contact you.
Chinmaya Cleveland Bala Vihar Liability Waiver and Release ** PLEASE READ ENTIRELY ** *
In consideration of your acceptance of my child/children’s participation in the above program, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Chinmaya Mission Cleveland, their officers, officials, agents, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the program (RELEASEES), WITH RESPECT TO ANY AND ALL CLAIMS FOR INJURIES,   LOSS OF LIFE, DISABILITY, DAMAGES, OR LOSS to person or property even if from negligence of the releasees or otherwise,  to the fullest extent permitted by law. You must check both boxes below.
Required
   Regular registration: $400/ family.  (Enter Confirmation # of submission in comments) *
Please click on the JotForm link below to make the payment for the Family Registration.  Under 'Reason for Payment'' please write Chinmaya Cleveland Bala Vihar.   Click this link for making payment using credit card (https://form.jotform.us/72144115599156).   You will receive an email with the confirmation number for payment.  Upon receipt of the confirmation number in your email, please continue with this form and complete it.  You will receive an email of your registration after you submit this form.  (Please Note: In order to attend language and arts classes, you must be registered for Bala Vihar)
Required
Fee Confirmation *
Please use this box to write your confirmation # for fee payment using the JotForm link provided above.
Comments *
If you have any other information to provide or general feedback, please let us know.  Hari OM!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms