Online Submission Download Pathshala Form Fill out below information for Pathshala Students First Name * Last Name * Street Address Email * Age * Group Select Group Palitana (Age:3-5) Pavapuri (Age:6-7) Sametsikhar (Age:8-9) Shankheshwar (Age:10 and up) Grade City * State * Zipcode Home Phone * Mom Cell Dad Cell Moms' Name * Dads' Name * Email Address(Mom) Email Address(Dad) Payment Information Payment with Paypal Payment with Cradit Card Card Number * Card Verification Number * Card Type * Select Expiration Type Visa MasterCard Discover American Express Expiration Date * Select Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 Expiration Year * Select Expiration Year 20242025202620272028202920302031203220332034 1) Pathshala activities is a volunteering activities by member to keep our culture in our kids. Please help as a teacher, PTA, Class Room Mom or Pathshala Lunch Coordinator. 2) Any members, any sponsors and/or JTVA are not responsible for any injury of any kind, any damages, loss of personal property or any kind of liabilities resulting from participation in JTVA Programs (on or offsite). 3) Pathshala yearly fee will be $100 Input the code * EGX7u * Required field If you do not have credit card, you can download pathshala form and fill it up and email to [email protected] Download Pathshala Form Note:- Right Click and select “Save Target / Link as…” to Download