BVM Registration form

*Required fields

CHILD

 

First Name:*

Middle Name:

 

Last Name:*

 

Date of Birth:*

Age:*

Grade:*

Gender:*

 

SIBLING(S)

 

Name:

Age:

 

Name:

Age:

 

PARENTS

 

Father:*

 

Home Phone:*

Cell Phone:*

 

Email Id:*

 

Mother’s Name:*

 

Home Phone:

Cell Phone:

 

Email Id:

 

Address:*

 

City:*

State:*

ZIP Code:*

 

I would like to be a volunteer at mandir:

 

ALTERNATE CONTACT

 

Name:*

 

Relationship:*

Phone:*

 

Note: Registration is not complete until the Registration fee is paid in full

 


 
 

Parent Guidelines, I read and understood Bala Vidya Mandir parent guidelines.*

 

Disclaimer: In case of any child with medical emergency while attending Bala Vidya Mandir, 911 will be called and parents will be notified. Bala Vidya Mandir Teachers cannot take medical responsibility for the children
Bow to Sri Sai! Peace Be to All!!