Membership – Chinmaya Mission Seattle

CMS Membership Registration 2022-2023

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 Hindi class, Swaranjali and Stotradāra

Please specify

Family Information

Primary contact 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 grade [field132]
Workbook 1 costs $[field153]

Child2 First Name

Child2 Last Name

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

Child3 First Name

Child3 Last Name

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

Shisuvihar workbook costs [field 172]

Bharadwaj workbook costs [field 173]

Dhruva workbook costs [field 174]

Sandeepany workbook costs [field 175]

Vyasa workbook costs [field 176]

Shankara wookbook costs [field 177]

Chinmaya wookbook costs [field 178]

Prahalada wookbook costs [field 179]

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*100]%

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]

Convenience Fee

$[field180]

$ [field75 + field153+field154+field155 + field180]

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