Chinmaya Mission Chicago (Badri Center) - Local Geeta Chanting Competition Registration Form

Parent Information: (If Parent or Registerant is also participating, please fill in the participant details below:)

* FirstName	* LastName	* email
* Address
* City	* State	* zip
* Home Phone	* Cell Phone	Work Phone

Please enter all the members from your family participating in the Competition (Including for the above person registering, if participating in the competition.)

* Participant 1 Details:

First Name:

Last Name:

Select Participant Group

Participant 2 Details:

First Name:

Last Name:

Select Participant Group

Participant 3 Details:

First Name:

Last Name:

Select Participant Group

Participant 4 Details:

First Name:

Last Name:

Select Participant Group

Participant 5 Details:

First Name:

Last Name:

Select Participant Group

Comments (if any):

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If you are having issues with Registration, please contact Suresh Kumar (630-362-0104)