Chinmaya Mission Seattle is pleased to announce that the membership registrations for the 2018-2019 year is now open. Please use the form below to register.

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1 Membership Selection
2 family info
3 Children info
4 Payment
Membership Registration
2018-2019
Membership Typeselect type
Amount

Individual membership : annual fee $200
This includes single individual or family with no children in Balavihar classes.

Single Child Family membership : annual fee $350
Families with 1 child (pre-K through 12th) enrolled in Balavihar classes.

Family membership : annual fee $400
This includes familes with 2 or more children enrolled in Balavihar classes.

Family Information
Your Full Name
Spouse Full Name
Your Phone
Spouse Phone
Addressyour home
Zip
City
Children Information
Child1 Namename
Child1 Gradegrade
Child1 DoB(mm/dd)
Child2 Namename
Child2 Gradegrade
Child2 DoB(mm/dd)
Child3 Namename
Child3 Gradegrade
Child3 DoB(mm/dd)
Permission for photographs to be used for Seattle Chinmaya Mission social media
Payment Information
Payment Typepick one!

Check should be made payable to "Chinmaya Mission Seattle"

For Paypal transfers, please contact Gopi Krishnan : 206.465.4458

Credit card payments include a 3% convenience fee

$ [field75*1.03]
Payment Status
Membership Year
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