Bal Vihar Registration Form

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Parent/Guardian Information

Name of Parent/Guardian

First

Last

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Child (Bal Vihar Student) Information

Name of Child

First

Last

Date of Birth

Gender

Male
Female
Prefer not say

Do your child have medical or diet or allergy concerns?

Did your child participated in 2023-2024 Bal Vihar Program?

Emergency Contact

Name of Emergency

First

Last

Phone

Radha Krishna Mandir & Cultural Centre (RKMCC) may use photos and videos of children participating in the activities they are registered for, for presentations, our website, and social media pages related to RKMCC. To protect your privacy and ensure child safety, we require your written consent to use your child's photos and videos in our promotional materials and online platforms. Please indicate below if you consent to having your child’s photos and/or videos published in RKMCC’s promotional materials, website, and/or social media, as outlined in our Privacy Policy (https://radhakrishnamandir.ca/our-privacy-policy/) and Terms of Service (https://radhakrishnamandir.ca/terms-of-service/).

Would you like to join our 2024-2025 Bal Vihar WhatsApp group for communication and sharing class activities?

Please pay

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Parent/Guardian Information

Child (Bal Vihar Student) Information

Emergency Contact

Join Us

Get in Touch

Address

Hours

Join Us

Get in Touch

Hours

Address