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Enrolment Form 2021 - Wellington
Sunday Sessions for Children, Youth and Adults
10am to 11:15am
Address - 6 Britannia Street, Petone, Lower Hutt 5012
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* Indicates required question
Email
*
Your email
Full Name of Child
*
Your answer
Gender
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Name on Donation Receipt
*
Your answer
Name of Mother or Father
*
Your answer
Contact Mobile Number
*
Your answer
Choice of Class
*
Children Ages 5yrs to 7yrs
Children Ages 8yrs to 10yrs
Teens - 11yrs to 13yrs
Youth - 14yrs and over
Required
Term Options
Term 1 - 14th Feb to 11th April
Term 2 - 2nd May to 11th July
Term 3 - 1st Aug to 3rd Oct
Term 4 - 24th Oct to 5th Dec
Full Year - 2021
Donations for Balvihar 2020
*
Annual: $150.00
Per term: $40.00
Required
Mode of Payment of Donation
*
Online: 02-0192-0290929-002 Ref: <Name of Child> - <For which Term> e.g. Ram - Year 2021
Required
Would you like to join parents Bhagavad Gita discussion group which runs at the same time as children's class? 10am to 11am on Sunday's during school term.
*
Yes
No
Required
Authorisation
*
We (parents/guardians) hereby consent our child to attend the Balvihar program as chosen above
We (parent/guardians) hereby consent to pictures of the child to be taken for publication on Chinmaya Mission NZ website
We (parent/guardians) hereby consent to sharing my/our mobile numbers and/or emails with other parents to support rostering
We (parent/guardians) hereby consent to inclusion of our mobile numbers and/or emails to Wellington CMNZ distribution. It will only be used for updates regarding CMNZ activities
Required
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