Member Information
* Indicates required fields.

               
Last Name:   * 

Continue Membership?   *

Parent/Guardian Information:


  Name: *
  Email: *
  Confirm Email: *  
  Profession:
   If Other Please Specify:
    


 Name: *
 Email: *
 Confirm Email: *
 Profession:
   If Other Please Specify:
 
 
 Address 1: *
 Address 2:
 City: *
 State: *
 Zip: *
 Home Phone (###)###-####: *
 Mobile Phone (###)###-####: *


 Name: *
 Phone (###)###-####: *


NOTE: All new students enrolling will be placed in the Beginners level. The "Enrol" status is only applicable for new students.

To qualify for Hindi Fast Track (HFT) program the student must satisfy the following criteria:

Existing Students:
  - Must be 10 years of age by August 30th of the enrolment year.
  - Must have spent at least 2 year in the advanced level of their respective first language AND have atleast 50% score in the final exam. 

New Students:
  - Must be 10 years of age by August 30th of the enrolment year. 

Date of Birth has to be before September 1st 2006 for new admissions

Child(ren) Name(s)* Date of Birth* Language Class* Culture Class* Status*
     
Help Balvihar through our Affinity Partners
Here is an opportunity to help and support Balvihar. Please select your employer if listed below or select Other and enter your employer name.

For more details on the matching programs please click here.


  Father's Employer:  
     If Other Please Specify:
  Mother's Employer:
     If Other Please Specify:

* Mandatory Volunteering

Select two unique activities that you WILL help out with. If you wish to lead select lead for that activity.

Please DO NOT select Board Member and Advisory Board Members as Volunteer Activity if you are not one.  It will not be considered as a volunteer activity and you will re-assigned to other activities.

Please DO NOT select as lead and volunteer for the same activity. They are not considered as volunteering for two activities.

Detailed assignment will be provided at the beginning of the Balvihar session. Registration will not be accepted without filling this section and without taking full responsibility for the assignment.

The volunteers may be re-assigned to other activities in order to meet the needs.
2011-2012 2010-2011
*
*

 Check Number: * 
 Check Date (mm/dd/yyyy): *
 Amount ($): *
 
  * Annual minimum Donation : $225 per Child, $450 per family of 2 or more children (Make checks payable to "Plymouth Balvihar").

  * No registration fee for parents if a child is registered. For parents/volunteers, the registration fee is $50.00, if you
     have not registered a child. For the new member families, the registration fee is $50.00 only for the first year.

  * Please remember to bring the check during the remaining sessions of Balvihar for this school year.  After June 12th 
     mail the check to the following address:

     Plymouth Balvihar
     P.O Box 1481
     North Wales, PA 19454

Comments: 

If you are discontinuing Balvihar Membership or if any of your child(ren) is discontinuing please provide the reason in the below box.
  


 

Culture class assignment is based on the age of the child. Class assignments determined by Balvihar officials.

Culture VII: 12 & more Culture VI: 11 Culture V: 10
Culture IV: 9 Culture III: 8 Culture II: 7
Culture I: 6 Culture M: 5