Membership Registration

Member Name

First

Last

Phone

Membership Level

Date of Birth

Anniversary Date

Family Gothram, Raasi & Nakshathram details

Family Gothram, Person 1 – Raasi & Nakshathram, Person 2 – …….

Child 1 – Data of Birth

Child 2 – Date of Birth

Emergency Contact Name

Emergency Contact Email

Emergency Contact Phone

Child details Family

Total

$0.00

Liability Waiver

I, acknowledge that my participation in temple activities, events, and services is voluntary. I agree to assume all risks associated with such participation and release the temple, its trustees, volunteers, and affiliates from any liability for injuries, damages, or losses incurred. I understand that the temple is not responsible for any personal belongings lost or damaged during events.

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