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Chinmaya Mission Berkeley Bala Vihar (2019-2020)
Registration form for 2019-2020 school year.
Registration information is available here:
https://www.cmsj.org/chinmaya-bala-vihar/location/berkeley
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Email
*
Your email
Student1 First Name
*
Your answer
Student1 Last Name
*
Your answer
Student1 Grade Level (for school year 2019-2020)
*
Your answer
Student1 Allergies/Medical information
Your answer
Student2 First Name
Your answer
Student2 Last Name
Your answer
Student2 Allergies/Medical information
Your answer
Student2 Grade Level (for school year 2019-2020)
Your answer
Parent1 First Name
*
Your answer
Parent1 Last Name
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Your answer
Parent1 Phone No. (10 digits only e.g. 5105551212)
*
Your answer
Parent2 First Name
*
Your answer
Parent2 Last Name
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Your answer
Parent2 Phone No. (10 digits only e.g. 5105551212)
*
Your answer
Emergency Contact Name
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Your answer
Emergency Contact Phone No. (10 digits only e.g. 5105551212)
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Your answer
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