CMSSHC 2019 Learner Application

Please enter your learner's information here .

You'll receive a copy of your application from Google.

If any information on your child's registration form needs to be modified, please write to Vasanthi ji Rangarajan (, as soon as possible, with the correct information.

After you submit your application, please download, and print 1) Liability Release Form, 2) Photo / Audio / Video Waiver Form, and 3) Code of Conduct Form, given below.

After you read, sign, and scan, please email all three forms, and a copy of your child's birth certificate to Vasanthi ji Rangarajan ( within three business days of registering your child.

Your child's registration isn't complete until you email these signed and scanned forms and your child's birth certificate to Vasanathi ji.

If you're enrolling more than one children, please fill, sign, and send separate forms for each child.

You'll be informed of your child's acceptance into the program by May 31, 2019. Best wishes. Namaste.