BHASKARA PRAKASHA ASHRAM

LAKSHA CHANDI MAHAYAGNAM

Name

First Name

Last Name

Phone:

(###)

###

####

Email Address

Will you attend the Ekadasha Rudram on June 18th @ 8AM

Yes

Number of adults attending

Including the person registering

Number of kids attending

Will you attend the Chandi Parayanam on June 18th @ 5 PM

Yes

Number of adults attending

Number of kids attending this event

Will you attend the Sri Chandi Homam on June 19th @ 8 AM

Yes

Number of women attending this event

Number of men attending this event

Number of kids attending this event

Please indicate gender and age of kids attending the event

Any comments etc.