Membership – Chinmaya Mission Seattle

CMS Membership Registration 2020-2021

Are you new to CM Seattle?

New registrationExisting member

Membership Type(One registration for the entire family)

Family Membership (2 or more children)Single Child Family MembershipIndividual/Family Membership (no children in Bala Vihar or Shishu Vihar)

Amount

This registration will cover the entire family, and all activities, such as Swaranjali and Yoga, are included.

Individual Membership : prorated to $125 for 2020-21
This includes single individual or family with no children in Balavihar classes.

(The regular annual rate is $200, but we offering a discount due to our reduced rent expenses during the COVID-19 quarantine)

Single Child Family Membership : Pro-rated to $250 for 2020-21
Families with 1 child (pre-K through 12th) enrolled in Balavihar classes.

(The regular annual rate is $300, but we offering a discount due to our reduced rent expenses during the COVID-19 quarantine)

Family Membership : Pro-rated to $275 for 2020-21
This includes familes with 2 or more children enrolled in Bala Vihar classes.

(The regular annual rate is $400, but we offering a discount due to our reduced rent expenses during the COVID-19 quarantine)

Please specify

Family Information

Your First Name

Your Last name

Your Email

Your Phone

Spouse First Name

Spouse Last Name

Spouse Email

Spouse Phone

Addressyour home

Zip

City

Bala Vihar Information

Child1 First Name

Child1 Last Name

Child2 First Name

Child2 Last Name

Child3 First Name

Child3 Last Name

Permission for photographs to be used for Seattle Chinmaya Mission social media .Pictures and videos of group activities will be used in promotional material. However, if your child is individually photographed in any activity, do you give us permission to use such individual pictures to showcase the camp?

YesNo

Does your employer offer matching gift programs for donations and other service activities?

YesNo

Payment Information

Payment Type

CardPaypal

Check should be made payable to "Chinmaya Mission Seattle" and mailed to
Maniketh Gopikrishnan
27230 SE 19th Ct
Sammamish WA 98075

For all payment related questions, please contact the treasurer (Gopi: gopi_fin@yahoo.com)

Amount		Total
Registration Fee	1	[field75*1]

Annual Charge $xxx

$ [field75*1]

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