Śrī Nṛsiṁha Yajna – Registrations – ISKCON Centre for Culture and Education

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Śrī Nṛsiṁha Yajna – Registrations

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Name *

First

Last

Phone *

Email *

Age Group (years) *

13 to 17
18 to 50
Above 50

Are there other family members attending along with you? *

Yes
No

Family Member #1

Name

First

Last

Age Group (years)

0 to 5
6 to 12
13 to 17
18 to 50
Above 50

Family Member #2

Name

First

Last

Age Group (years)

0 to 5
6 to 12
13 to 17
18 to 50
Above 50

Family Member #3

Name

First

Last

Family Age Name

Age Group (years)

0 to 5
6 to 12
13 to 17
18 to 50
Above 50

Family Member #4

Name

First

Last

Age Group (years)

0 to 5
6 to 12
13 to 17
18 to 50
Above 50

Family Member #5

Name

First

Last

Age Group (years)

0 to 5
6 to 12
13 to 17
18 to 50
Above 50

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Petone
Lower Hutt
Upper Hutt
Porirua & Newtown
(Wellington, New Zealand)

+64 210 510 030
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