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* 1. Are you currently involved with Chinmaya Mission Kenya or Chinmaya Mission International? If yes, in what capacity?

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* 2. Have you ever attended a Chinmaya Mission Kenya event or an International event? 

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* 3. Do you have kids between the ages of 0-16?

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* 4. If yes, please select all applicable age groups:

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* 5. Do your children attend Bal Vihar

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* 6. If your children attend Bal Vihar, what do you like about the program? What would you like to see added?

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* 7. If your children do not attend Bal Vihar, what can we change to make you want to attend our Bal Vihar program?

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* 8. What is your preferred Day, Time and Location for Bal Vihar classes? Please select one Day/Time option and one location option

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* 9. If you are not currently a Bal Vihar Sevak (volunteer), would you be interested in serving? If yes, please share what capacity you would like to assist in and any special talents.

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* 10. May we contact you by phone or email? If so, please leave your contact information.

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