Samskrita Kendram 2026-27 - Portland, OR Registration

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Samskrita Kendram 2026-27 - Portland, OR

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Quantity

Family (1 Child)

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Family (1 Child and 1 Parent)

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Family (1 Child and 2 Parents)

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Family (2 Children)

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Family (2 Children and 1 Parent)

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Family (2 Children and 2 Parents)

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One Adult (Not a Registering Parent)

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Two Adults (Not Registering Parents)

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Waiver Statement *

Registration signifies your agreement to the following:

Liability Waiver: I agree to hold Samskrita Bharati USA (SBUSA) harmless from any liability and release SBUSA from all claims.

Media Consent: I understand that photos and videos may be taken during classes, events, and activities in the Samskrita-kendram. Such media is used only for teacher training, tracking quality of instructions in our classrooms, outreach, and community engagement to promote spoken Samskritam and SBUSA activities in the larger community. For any questions, please contact your Samskrita-kendra’s samyojakaH.

Yes, I agree.

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Registrant Information (Parent 1 or Adult Student 1)

NOTE: Registrant is the person who pays for the Samskrita-kendram fees. Please complete this required information below.

First Name *

Last Name *

Email *

Phone (xxx) xxx-xxxx *

Address Line 1 ( Include Unit # if any ) *

Address Line 2

City *

State *

Zip Code *

Country

First Name *

Last Name *

Email ID (Note: This email ID must be different from Parent 1) *

Phone *

Street Address

City

State (2 letter abbreviation)

Zip

Is this address the same as the Parent 1 (or Adult Student 1)? *

Yes, the address is the same.

No, the address is different. If so, please add the new address below.

Permission to use photos/videos *

Yes, I grant permission.

No, I do not grant permission.

Job Title

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First Name *

Last Name *

Parent 2 (or Adult Student 2)

NOTE: Please complete this section if you are registering a Child or Adult Student 2. If not, you may enter "N/A" in the mandatory fields below.

Attendee Type *

Child

Adult

Email ID [Note: each child from Kindergarten to 8th grade will need an unique email id for Schoology that is different from their parent’s Email ID] *

Phone [optional for child attendee]

Years attending SBUSA classes *

Grade [in fall] [Adults pick n/a] *

Permissions and Waivers

Permission to Samskrita Bharati to take and use photographs, videos, and/or digital images of all attendees registered for use in SBUSA publications, news releases, and teacher training. These materials might include printed or electronic publications, websites or other electronic communications.

Which level were you in last year? *

Mother Tongue *

Mother Tongue (Other)

Please indicate your interest in volunteering with us *

Teaching

Administration

Event Coordination

Promotion and Social Media

Not interested

Other

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