2021-22 BTSD Dharma School Registration

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STUDENT First Name *

STUDENT Last Name *

STUDENT Grade Level in 2021-22 *

STUDENT: How many years have you attended Dharma School? *

STUDENT MEDIA RELEASE CONSENT *

I approve of the BTSD to post or publish an image of my child on the Internet, in brochures or in any other medium. I understand that my child's full name, address and biographical information will not be made public.

I do NOT approve of the BTSD to post or publish an image of my child on the Internet, in brochures or in any other medium.

ZOOM RECORDING CONSENT *

I approve of the BTSD to record Zoom meetings while my child is attending.

I do NOT approve of the BTSD to to record Zoom meetings while my child is attending.

PARENT/GUARDIAN first and last name *

PARENT/GUARDIAN email address *

PARENT/GUARDIAN phone number *

PARENT/GUARDIAN: Are you a temple member? *

YES

I'm planning on becoming a BTSD member this year.

PARENT/GUARDIAN: Will you be willing to assist with the following (check all that apply)?

Co-teaching a class this year

Volunteering in the classroom

Helping with special projects during major services

I am interested in giving a Dharma Talk

I can help when needed

I am unable to help/volunteer, but I know someone who attends BTSD who would be willing to help/volunteer (please add name and contact info. in comment section below)

Other:

If you completed the BTSD Parental, Medical Consent and Insurance Information Form in a previous year, is your medical information the same or has it changed? *

Yes, my information is the same and I do not need to update it.

No, my information changed and I need to complete a new form.

Maybe/Not sure (please check and send me my information so I can check it)

What would you like your child to learn at Dharma School?

Comments/Questions

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