Membership – Chinmaya Mission Seattle

CMS Membership Registration 2021-2022

Are you new to CM Seattle?

New memberExisting 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

Note: This registration will cover the entire family, and all activities, such as Swaranjali and Yoga

Individual Membership : $150
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 : $300
Families with 1 child (pre-K through 12th) enrolled in Balavihar classes.

(The regular annual rate is $350, but we offering a discount due to our reduced rent expenses during the COVID-19 quarantine)

Family Membership : $350
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

[field24] is in class [field132]
Workbook 1 costs $[field153]

Child2 First Name

Child2 Last Name

[field30] is in class [field133]
Workbook 2 costs $[field154]

Child3 First Name

Child3 Last Name

[field68] is in class [field134]
Workbook 3 costs $[field155]

Permissions

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 you or members of your family are individually photographed in any activity, do you give us permission to use individual pictures?

YesNo

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

YesNo

Payment Information

We are charging a convenience fee of [field166]

Workbook for Dhruva

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)

CHARGE

Registration

AMOUNT

$[field75]

Workbook for [field24]

$[field153]

Workbook for [field30]

$[field154]

Workbook for [field68]

$[field155]

$ [field75 + field153+field154+field155]

Stripe Card Placeholder