Pathshala Students

Online Submission Download Pathshala Form

Fill out below information for Pathshala Students

First Name *

Last Name *

Street Address

Email *

Age *

Group

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 *

Expiration Date *

Expiration Year *

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 *

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* Required field

If you do not have credit card, you can download pathshala form and fill it up and email to contact@jaintempleva.org

Download Pathshala Form

Note:- Right Click and select “Save Target / Link as…” to Download