Bangiya Bartajibi Mancha

Event [Specify the events of interest]
—Please choose an option—Swami Vivekananda Jayanti (12 January)Netaji Subhas Chandra Bose Jayanti (23 January)Maa Saraswati Puja (2 February 2025)Maha Shivratri (8 March 2024)Kobi Guru Rabindranath Tagore Jayanti (7 May)Rishi Bankim Chandra Chattopadhyay Jayanti (27 June)Bharat Kesri Syama Prasad Mukherjee Jayanti (6 July)Ratha Yatra (7 July 2024)Rashtriya Chhatra Diwas (9 July 1949*)Bharat Mata Puja (14 August)Rishi Aurobindo Jayanti (15 August)Bangla Bhasa Saheed Dibas (20 September 2018*)

Topic [Specify the topic of interest]
—Please choose an option—Physical choices made by individuals of various gendersMental choices made by individuals with different orientationsReligious choices exercised by individuals with diverse beliefsChoices made by individuals across different social classesChoices made by Hindus in Bharat and Bangladesh, and Bengali Muslims in BangladeshChoices made by Hindus in Bharat and Pakistan, and Muslims in PakistanChoices made by people from Bharat and China

Religion
—Please choose an option—BuddhismChristianityHinduismIslamJainismSikhismOther

[please specify]
NAOther

[please specify]

Class
—Please choose an option—GENOBCSC/ST

Gender
—Please choose an option—FemaleMaleTransgender

Orientation
—Please choose an option—HeteroLGBTQ+

Country
—Please choose an option—AfghanistanBangladeshBharatBhutanChinaMaldivesMyanmarNepalPakistanSri LankaTibetOther

[please specify]

[please specify]

Consent
I, the undersigned parent/legal guardian of the participant named above, hereby provide consent for their participation in the aforementioned programme.
I authorize Connect Pariwar to utilize and distribute my name and portrait and the name and portrait of the above participant, as well as record myself/the participant named above and any accompanying guests, for the following purposes: (1) fulfilling group obligations and (2) advertising and/or publicizing Connect Pariwar, including the aforementioned programme.
I have fully read and understand this form, and I confirm that Connect Pariwar retains the authority to adjust, amend, or revise its terms and conditions. The decision of Connect Pariwar is final and binding on the attendees including performers, audiences and volunteers of the aforementioned programme.
Guardian Information
Guardian

Relation
—Please choose an option—MotherFatherOther

Phone Number

Consent
I authorize Connect Pariwar to utilize and distribute my name and portrait, as well as record myself and any accompanying guests, for the following purposes: (1) fulfilling group obligations and (2) advertising and/or publicizing Connect Pariwar, including the aforementioned programme.
I have fully read and understand this form, and I confirm that Connect Pariwar retains the authority to adjust, amend, or revise its terms and conditions. The decision of Connect Pariwar is final and binding on the attendees including performers, audiences and volunteers of the aforementioned programme.