Please click any credit card image below and pay the fee amount on the new screen that will show up. Please remember to check "Send Email Receipt" on the new screen. After you pay fee on the new screen, you will receive an email from noreply@mxmerchant.com. Please note down the "Auth Code" from the email.

Please start application again, hit the Next Button at the bottom and enter above "Auth Code".

Waiver and Release: 
In consideration of your accepting my child's participation in the above program, I hereby, for myself and my child, waive and release Bharatiya Temple, Bharatiya Cultural Center, and Bharatiya Vidyalaya and their officers, trustees, volunteers, teachers and members, and all other persons participating in the program, or involved in planning or execution of the program, from all liability or claims arising from any injury to myself, my child, or my property. 

I hereby authorize Bharatiya Temple, Bharatiya Cultural Center, and Bharatiya Vidyalaya, the right and permission to use my name, voice, and likeness in video, photographs, written materials, and audio-visual recordings. I acknowledge and understand these materials about or of me may be used for non-profit charitable purposes.

If you are not able to submit the form, please scan/take a pic of this form and send alogwith your payment email you would have received from you would have received from noreply@mxmerchant.com to registration@bvidya.org 

Please follow CDC guidelines for COVID.