CMO - Chinmaya Mission Orlando

Home > Application Form

If you already have an account for CMO Chinmaya Mission Orlando, please log in now or contact us at office@chinmayaorlando.org to prevent creation of duplicate data about you! Once logged in, you can find the form under People > Students in the main menu. If you do not have an account for CMO Chinmaya Mission Orlando, please use the form below.

Student

Student Personal Data

Last Name *
Family name as shown in ID documents.

First Name *
First name as shown in ID documents.

Gender *

Date of Birth *
Format: mm/dd/yyyy

Student Contact

Student Education

Anticipated Year of Entry *
What school year will the student join in?

School Grade at Entry *
Which School Grade will student enter.

Other Information

Chinmaya Mission Location
Specify your Chinmaya Mission Center

Home Address

This address will be used for all members of the family. If an individual within the family needs a different address, this can be set through Data Updater after admission.

Home Address *
Unit, Building, Street

Home Address (State, Zip) *
State, Zip

Parent/Guardian 1

(e.g. mother)

Parent/Guardian 1 Personal Data

Title *

Last Name *
Family name as shown in ID documents.

First Name *
First name as shown in ID documents.

Gender *

Relationship *

Parent/Guardian 1 Contact

Email *

Phone 1 *
Type, country code, number.

Parent/Guardian 1 Employment

Profession *

Employer

Parent/Guardian 2

(e.g. father)

Do not include a second parent/guardian

Parent/Guardian 2 Personal Data

Title *

Last Name *
Family name as shown in ID documents.

First Name *
First name as shown in ID documents.

Gender *

Relationship *

Parent/Guardian 2 Contact

Phone 1
Type, country code, number.

Parent/Guardian 2 Employment

Profession

Employer

Siblings

Please give information on the applicants's siblings.

Sibling Name	Date of Birth mm/dd/yyyy	School Attending	Joining Date mm/dd/yyyy

Language Selection

Language Choice *
Please choose preferred additional language to study.

Agreement

I hereby consent to the above listed participation and release absolutely, discharge, hold harmless and covenant not to sue Chinmaya Mission of Orlando, Inc. (CMO), and its directors, committee members, volunteers, and affiliates from any and all present or future liability, claims, demands, actions or rights of action, whether asserted by me or a third party arising out of my (or my child's) participation in CMO's activities("Claims"). I agree to indemnify and hold harmless CMO for any such Claims brought by me or a third party from any costs associated with defending or litigating such claims, including but not limited to attorney fees, costs and legal expenses. Medical Emergency. I understand that every effort will be made to contact the parent/contact listed above in case of illness or emergency, prior to the administration of any medical service. I hereby authorize CMO administrators and on-duty volunteers to render first aid for illness or injury to my child and to use their best judgment to secure the medical attention they deem necessary for the health and safety of my child, including transporting him/her to the nearest available hospital/emergency care center for emergency medical or surgical treatment. I further authorize the release of the above medical information to all medical personnel providing treatment. I agree to be solely responsible for the payment of all expenses incurred in such an emergency. Photos/Videos: I hereby permit CMO to use, in whole or in part, photographs, videos, written extractions, and voice recordings of me or my child for the purpose of posting on the website, illustrations and publications. I will separately notify CMO in writing if I do not wish to permit this. Parent/Guardian: I hereby affirm that I am the parent and/or legal guardian of the children registered above (if any).

Do you agree to the above? *

Yes

* denotes a required field