Manitoba Buddhist Vihara | MBVCA |Buddhist Temple in Winnipeg Manitoba
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Dhamma School Registration 2022/2023
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1
General Information
2
Child's Information
3
Payment
Name of Parent 1
*
First
Last
Name of Parent 2
*
First
Last
Home Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Primary Contact Number
*
Alternate Contact Number
*
Primary Email Address
*
Alternate Email Address
*
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Number of Children attending to the Dhamma school
*
1
2
3
4
5
Are your child/children planning to attend Sinhala Class?
*
Yes
No
If yes please enter the names of your Child/Children registering for Sinhala class
Are your child/children planning to attend Sathipasala?
*
Yes
No
If yes please enter the names of your Child/Children registering for Sathipasala class?
Third Child's Name
Third Child's Birth Date
Third Child's Current School Grade
Second Child's Name
Second Child's Birth Date
Second Child's Current School Grade
First Child's Name
First Child's Birth Date
First Child's Current School Garde
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Dhamma School fee
*
Price:
$ 40.00
Membership Fee
*
Pay for membership - $ 50.00
Your Total Payment
$ 0.00
Credit Card Information
*
Card
Name on Card
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