Welcome to Vidhya Deepam.  Please share some information with us so we can register you as a member.

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Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

Parent/Guardian 2 Name

First

Last

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

Click to add child

• Add child

Click check box to add more children

Child's Name (First child)

First

Last

What grade is the child?

If in between school year, enter the grade the child will be when the next school year begins

Click to add more child

• Add second child

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Child's Name (Second Child)

First

Last

What grade is the second child?

If in between school year, enter the grade the child will be when the next school year begins

Are you interested in volunteering with Vidhya Deepam? We have many volunteer roles available including marketing/social media presence, website maintenance, organizing events, teaching, and more!

• Yes
• No
• May be

Media Release – Do you consent for pictures and videos of you and your minor children to be displayed on the Vidhya Deepam website, social media, and print media (flyers)? We fully welcome your family as members regardless of your answer. If you opt out, we will work with you to respect your decision. *

• Opt in
• Opt out

Membership Fee- Covers books, bag, facilities, materials for events and celebrations. (There is an additional 3.5%+30¢ transaction charge which goes directly to the payment service provider) *

• Family membership(Entire year) – $ 363.50
• I am not enrolling children for classes (Adult only membership) – $ 210.00

Total

$ 0.00

Payment *

I/ We agree to hold Vidhya Deepam and/or VEDA Temple harmless because of voluntary participation and adhere to Vidhya Deepam / VEDA Temple guidelines / rules. *

• Yes

Corporate Matching helps us to provide wonderful services to your family and the community. We are a 501(c)(3) non profit so membership dues are eligible for 50% match. Do either of your employers offer non profit donation matching?

• No, My/Our employer does not match
• Yes, My/ Our employer matches

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