<!-- BOF: ./personal-templates/show.body -->
<!-- BOF: ./personal-templates/simple/generic/show -->
<!-- BOF: ./personal-templates/rtl.html -->
<!-- Locale=en_US -->
<!-- EOF: ./personal-templates/rtl.html -->


<!-- BOF: ./personal-templates/simple/generic/functions -->
<!-- BOF: ./personal-templates/simple/generic/navbar --><!-- EOF: ./personal-templates/simple/generic/navbar -->


<!-- EOF: ./personal-templates/simple/generic/functions -->


<!-- EOF: ./personal-templates/simple/generic/show -->

<!-- BOF: ./personal-templates/simple/generic/images -->

<!-- EOF: ./personal-templates/simple/generic/images -->


<!-- BOF: ./personal-templates/simple/personal/other/l23.settings.init -->


<!-- EOF: ./personal-templates/simple/personal/other/l23.settings.init -->


    <!-- BOF: ./personal-templates/simple/personalnew/form/style_l23.images -->
<!-- EOF: ./personal-templates/simple/personalnew/form/style_l23.images -->

    <!-- BOF: ./personal-templates/simple/personalnew/form/style_l23.wait -->

 
<!-- EOF: ./personal-templates/simple/personalnew/form/style_l23.wait -->

  
  <!-- BOF: ./personal-templates/simple/personalnew/layout/l23.wait -->


<!-- EOF: ./personal-templates/simple/personal/layout/l23.wait -->


<HTML>

<HEAD>


<META NAME="description" CONTENT="Vrindavana Preservation Society">
<META NAME="Keywords"    CONTENT="Vrindavana, Preservation, Society, Boston, Hindu, Culture, Quincy, MA, Hindi, drama, dance, music, devotion, bhakti, Kirtan, yoga, meditation, pranayama, Brindaban, Krishan, Krishna, krsna, Radha, Radhe, cricket, holi, diwali, janmashtami, radhashtami, govardhan puja, nimbarka, nimbarkacharya, tsunami, chennai, india, mass, usa, yogathon, vaisnava, vaishnav, braj, service, vps, nimbarka, nimbarkacharya, vegetarian, retreat, rasik, rasika, nikunj, yugal maha mantra, radhe krishna radhe krishna krishna krishna radhe radhe, radhe shyam radhe shyam shyam shyam radhe radhe, ras, prema bhakti, haridas swami, banke bihari, vrindaban, Brindaban, seva, Kartik, india, relief effort, sadhu, anand mela, mandir, vps, vrindavan mantra, ">


<!-- personal -->


<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<META NAME="Generator" content="">
<!-- BOF: ./personal-templates/simple/themes.show -->


<style>
.spanstyle {
	position:absolute;
	visibility:visible;
	top:-50px;
	font-size:10pt;
	font-family:Verdana;
      font-weight:bold;
	color:black;
}
</style>
<script language="javascript">var cursor_text = 'CHILDREN'S  DAY  REGISTRATION  FORM '
</script>

<!--script language="JavaScript1.2" src="widgets/cursor_text_head.js")></script-->


<script>
/*
Cursor Trailor Text- By Peter Gehrig (http://www.24fun.ch/)
*/

var x,y
var step=20
var flag=0

// Your snappy message. Important: the space at the end of the sentence!!!
var message=cursor_text.split("");


var xpos=new Array()
for (i=0;i<=message.length-1;i++) {
	xpos[i]=-50
}

var ypos=new Array()
for (i=0;i<=message.length-1;i++) {
	ypos[i]=-50
}

function handlerMM(e){
	x = (document.layers) ? e.pageX : document.body.scrollLeft+event.clientX
	y = (document.layers) ? e.pageY : document.body.scrollTop+event.clientY
	flag=1
}

function makesnake() {
	if (flag==1 && document.all) {
    	for (i=message.length-1; i>=1; i--) {
   			xpos[i]=xpos[i-1]+step
			ypos[i]=ypos[i-1]
    	}
		xpos[0]=x+step
		ypos[0]=y
		for (i=0; i<message.length-1; i++) {
    		var thisspan = eval("span"+(i)+".style")

    		thisspan.posLeft=xpos[i];
	        thisspan.posTop=ypos[i]
    	}
	}
	
	else if (flag==1 && document.layers) {
    	for (i=message.length-1; i>=1; i--) {
   			xpos[i]=xpos[i-1]+step
			ypos[i]=ypos[i-1]
    	}
		xpos[0]=x+step
		ypos[0]=y
		for (i=0; i<message.length-1; i++) {
    		var thisspan = eval("document.span"+i)
//                alert(i);
    		thisspan.left=xpos[i]
			thisspan.top=ypos[i]
    	}
	}
		var timer=setTimeout("makesnake()",30)
}
</script>


<!-- EOF: ./personal-templates/simple/themes.show -->


<!--<BASE HREF="http://www.vps-international.org/childrendayform.html">-->
<TITLE>CHILDREN'S  DAY  REGISTRATION  FORM</TITLE></head>
<BODY  BGCOLOR="#FBEBE7"
 TEXT="#333333"

LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

 onLoad=""
 
 LINK="#000000"
 VLINK="#000000"
 ALINK="#F99450"
>

  
      <!-- BOF: ./personal-templates/simple/personalnew/layout/l22.layout -->

<TABLE WIDTH="100%" HEIGHT="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
   <TR>
       <TD WIDTH=274 HEIGHT="100%" VALIGN="top">
           <TABLE WIDTH="100%" HEIGHT="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
               <TR>
                   <TD COLSPAN=2 WIDTH=274 HEIGHT=324 VALIGN="top">
                          <img src="widgets/gen_809.1.gif" border=0 width=274 height=324 alt="">
               </TR>
               <TR>
                   <TD WIDTH="48" HEIGHT="100%" BACKGROUND="widgets/gen_720.1.gif" BGCOLOR="#B5280C" VALIGN="top">
                        <img src="widgets/spacer.gif" height=1 width=1 alt=""></TD>
                   <TD WIDTH="226" BACKGROUND="widgets/gen_721.1.gif" style="background-repeat: no-repeat;" VALIGN="top">
                       <img src="widgets/spacer.gif" height=20 width=1 alt="">
                       
                      <a href="index.html" onMouseOver="document.images['img6'].src='widgets/gen_726.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_725.1.gif'"><img src="widgets/gen_725.1.gif" alt="Home" name="img6" border="0"></a><br>
                      
                      <a href="programs.html" onMouseOver="document.images['img110'].src='widgets/gen_728.1.gif'" onMouseOut="document.images['img110'].src='widgets/gen_727.1.gif'"><img src="widgets/gen_727.1.gif" alt="Kirtan/Programs" name="img110" border="0"></a><br>
                      
                      <a href="center.html" onMouseOver="document.images['img307'].src='widgets/gen_746.1.gif'" onMouseOut="document.images['img307'].src='widgets/gen_745.1.gif'"><img src="widgets/gen_745.1.gif" alt="Braj Center" name="img307" border="0"></a><br>
                      
                      <a href="vaisnava.html" onMouseOver="document.images['img99'].src='widgets/gen_736.1.gif'" onMouseOut="document.images['img99'].src='widgets/gen_735.1.gif'"><img src="widgets/gen_735.1.gif" alt="VaisnavaAcademy" name="img99" border="0"></a><br>
                      <a href="cricket.html" onMouseOver="document.images['img104'].src='widgets/gen_734.1.gif'" onMouseOut="document.images['img104'].src='widgets/gen_733.1.gif'"><img src="widgets/gen_733.1.gif" alt="Cricket" name="img104" border="0"></a><br>
                      
                      
                      <a href="india.html" onMouseOver="document.images['img63'].src='widgets/gen_748.1.gif'" onMouseOut="document.images['img63'].src='widgets/gen_747.1.gif'"><img src="widgets/gen_747.1.gif" alt="VPS India" name="img63" border="0"></a><br>
                      <a href="BrajrasMagazine.html" onMouseOver="document.images['img285'].src='widgets/gen_750.1.gif'" onMouseOut="document.images['img285'].src='widgets/gen_749.1.gif'"><img src="widgets/gen_749.1.gif" alt="VPS Magazine" name="img285" border="0"></a><br>
                      <a href="media.html" onMouseOver="document.images['img119'].src='widgets/gen_752.1.gif'" onMouseOut="document.images['img119'].src='widgets/gen_751.1.gif'"><img src="widgets/gen_751.1.gif" alt="Media Coverage" name="img119" border="0"></a><br>
                      <a href="sponsors.html" onMouseOver="document.images['img116'].src='widgets/gen_756.1.gif'" onMouseOut="document.images['img116'].src='widgets/gen_755.1.gif'"><img src="widgets/gen_755.1.gif" alt="Sponsors and Supporters" name="img116" border="0"></a><br>
                      <a href="award.html" onMouseOver="document.images['img350'].src='widgets/gen_1789.1.gif'" onMouseOut="document.images['img350'].src='widgets/gen_1788.1.gif'"><img src="widgets/gen_1788.1.gif" alt="Service Recognition Award" name="img350" border="0"></a><br>
                      <a href="prasadam.html" onMouseOver="document.images['img341'].src='widgets/gen_794.1.gif'" onMouseOut="document.images['img341'].src='widgets/gen_793.1.gif'"><img src="widgets/gen_793.1.gif" alt="Prasadam Book" name="img341" border="0"></a><br>
                      <a href="donations.html" onMouseOver="document.images['img27'].src='widgets/gen_758.1.gif'" onMouseOut="document.images['img27'].src='widgets/gen_757.1.gif'"><img src="widgets/gen_757.1.gif" alt="Donations" name="img27" border="0"></a><br>
                      <a href="contacts.html" onMouseOver="document.images['img73'].src='widgets/gen_760.1.gif'" onMouseOut="document.images['img73'].src='widgets/gen_759.1.gif'"><img src="widgets/gen_759.1.gif" alt="Contacts/Board Members" name="img73" border="0"></a><br>
                      
                      
                      <br></TD>
                  </TD>
               </TR>
            </TABLE>
        
       </TD>
       <TD VALIGN="top" WIDTH="100%">
             <TABLE WIDTH="100%" HEIGHT="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
               <TR>
                   <TD WIDTH="100%" HEIGHT=251 VALIGN="top">
                       <img src="widgets/gen_797.1.gif" border=0 width=444 height=251 alt="">
               </TR>
               <TR>
                   <TD VALIGN="top" HEIGHT="100%">
                      
                    <TABLE WIDTH="100%" HEIGHT="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BACKGROUND="widgets/gen_724.1.gif" style="background-repeat: no-repeat;">
                        <TR>
                            <TD WIDTH="100%" HEIGHT=25 VALIGN="top" ALIGN="right">
                                 <img src="widgets/gen_717.1.gif" border=0 width=452 height=25 alt="">
                        </TR>
                        
                         <TR>
                             <TD WIDTH="100%" HEIGHT="1" VALIGN="top" ALIGN="center">
                                  <TABLE WIDTH="98%" HEIGHT="1" BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BACKGROUND="widgets/gen_724.1.gif" style="background-repeat: no-repeat;">
                                       <TR>
                                          <TD  BGCOLOR="#000000">
                                               <img src="widgets/spacer.gif" height=1 width=1 alt=""></TD>
                                       </TR>
                                  </TABLE>
                                 </TD>
                        </TR>
                       <TR>
                           <TD VALIGN="top" ALIGN="right">
                               <img src="widgets/spacer.gif" height=1 width=1 alt="">
                           <!-- BOF: ./personal-templates/simple/personalnew/form/style_l23.html -->
<table border="0" cellpadding="0" cellspacing="10" align="center">
<tr>
    <td HEIGHT="35" valign="top" align="center">
    <img src="widgets/gen_1809.1.gif" border=0 width=444 height=35 alt=""></td>
</tr>
</TABLE>
<TABLE BORDER=0 CELLPADDING=0 CELLSPACING=0 align="center">
    <TR>
        <TD WIDTH=34 HEIGHT=8>
               <img src="widgets/gen_811.1.gif" border=0 width=34 height=8 alt=""></TD> 
               <TD><img src="widgets/spacer.gif" height=1 width=1 alt=""></TD>
           <TD><img src="widgets/spacer.gif" height=1 width=1 alt=""></TD>
       </TR>
            <TR>
              <TD BACKGROUND="widgets/gen_812.1.gif" VALIGN="bottom">
              <img src="widgets/gen_813.1.gif" border=0 width=34 height=10 alt=""></TD>
          <TD BGCOLOR="#F5B9AD" align="center">
          <TABLE WIDTH=100% BORDER=0 CELLPADDING=5 CELLSPACING=0 VALIGN="top" align="center">
<SCRIPT LANGUAGE="JavaScript">
var BUILDER = '/servlet/psoft.masonry.Builder';
function validate(frm){
var i = 0;

if (frm.field_402.value=="") return error(frm.field_402);

if (frm.field_403.value=="") return error(frm.field_403);

if (frm.field_405.value=="") return error(frm.field_405);

for(i = 0; i < frm.field_406.length; i++)
if (frm.field_406[i].checked) break;
if (frm.field_406.length==i) return error(frm.field_406[0]);

var url = document.URL;
if (url.indexOf(BUILDER) == -1 && url.charAt(url.length)!='/') {
    url = url.substring(0, url.lastIndexOf('/')+1);
}
frm.domain.value=url;
return true;
}
function error(field){ alert('You did not fill all required fields!'); field.focus(); return false; }
</SCRIPT>
<form name="questionary" action="http://209.217.50.104:8080/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value="CHILDREN'S  DAY  REGISTRATION  FORM">
<input type="hidden" name="esubj" value="Children's Day 2008 Registration">
<input type="hidden" name="name" value="=GCh0WG0bU1bal4b">
<input type="hidden" name="submit_url" value="onsubmit4.html">
<input type="hidden" name="error_url"  value="onerror4.html">
<input type="hidden" name="order" value="402 403 404 405 406 407 ">
    <TR><TD align="center">
        <TABLE border=0 cellpadding="5" cellspacing="0" width="100%">
        <tr><td colspan=2>&nbsp;</td></tr>
        <input type="hidden" name="name_402" value="Mother/Father's First and Last Name:">
        <tr>
            <td>


<font face='Arial' size='2' color='#333333'>

Mother/Father's First and Last Name:

</font>


<font <font face="" color="red" size="-1">*</font></td>
            <td>

<input type="text" name="field_402" size=35>


            </td>
        </tr> 
        <input type="hidden" name="name_403" value="Email:">
        <tr>
            <td>


<font face='Arial' size='2' color='#333333'>

Email:

</font>


<font <font face="" color="red" size="-1">*</font></td>
            <td>

<input type="text" name="field_403" size=35>
<input type="hidden" name="rcpt" value="field_403">


            </td>
        </tr> 
        <input type="hidden" name="name_404" value="Phone Number:">
        <tr>
            <td>


<font face='Arial' size='2' color='#333333'>

Phone Number:

</font>


</td>
            <td>

<input type="text" name="field_404" size=35>


            </td>
        </tr> 
        <input type="hidden" name="name_405" value="Children's First and Last Name; and Date of Birth:">
        <tr>
            <td>


<font face='Arial' size='2' color='#333333'>

Children's First and Last Name; and Date of Birth:

</font>


<font <font face="" color="red" size="-1">*</font></td>
            <td>


<textarea name="field_405" rows="5" cols="30"></textarea>

            </td>
        </tr> 
        <input type="hidden" name="name_406" value="Will you be attending Vaisnava Academy on Sundays?">
        <tr>
            <td>


<font face='Arial' size='2' color='#333333'>

Will you be attending Vaisnava Academy on Sundays?

</font>


<font <font face="" color="red" size="-1">*</font></td>
            <td>
<input type="radio" name="field_406" value="Yes">


<font face='Arial' size='2' color='#333333'>

Yes

</font>


<input type="radio" name="field_406" value="No">


<font face='Arial' size='2' color='#333333'>

No

</font>


            </td>
        </tr> 
        <input type="hidden" name="name_407" value="Any Questions?">
        <tr>
            <td>


<font face='Arial' size='2' color='#333333'>

Any Questions?

</font>


</td>
            <td>


<textarea name="field_407" rows="5" cols="30"></textarea>

            </td>
        </tr> 
        
        <tr>
            <td align=center COLSPAN="2">
                <input onClick="return validate(form)" type="submit" value="Submit">
                <input type="reset"  value="Reset">
        </td>
        </tr>
        </table>
        </td></tr>
</form> 
</table>
</TD>
              <TD BACKGROUND="widgets/gen_818.1.gif" VALIGN="top">
              <img src="widgets/gen_819.1.gif" border=0 width=4 height=9 alt=""></TD>
        </TR>
        <TR>
          <TD WIDTH=34 HEIGHT=14>
          <img src="widgets/gen_814.1.gif" border=0 width=34 height=14 alt=""></TD>
          <TD BACKGROUND="widgets/gen_816.1.gif">
          <img src="widgets/gen_815.1.gif" border=0 width=116 height=14 alt=""></TD>
          <TD WIDTH=4 HEIGHT=14>
          <img src="widgets/gen_817.1.gif" border=0 width=4 height=14 alt=""></TD>
        </TR>
</TABLE>
<!-- EOF: ./personal-templates/simple/personalnew/form/style_l23.html -->

                
                         <br>  <img src="widgets/gen_718.1.gif" border=0 width=105 height=99 alt=""></TD>
                       </TR>
                     </TABLE>
                    </TD>
                    </TR>
                   <TR>
                   <TD VALIGN="bottom" ALIGN="center">
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<a href="http://www.webhero.com/" target="_blank"><img src="http://209.217.50.104:8080/masonry/widgets/simple/other/built_webhero.gif" alt="Webhosting"" border="0"></a>

<br><font face="helvetica,verdana, arial" size="1"><!-- --></font>

</td></tr></table></center>
</TD>
               </TR>
            </TABLE>
       </TD>
       <TD ROWSPAN=2 WIDTH=46 BGCOLOR="#B5280C" BACKGROUND="widgets/gen_719.1.gif" ALIGN="right">
              <img src="widgets/spacer.gif" height=1 width=46 alt=""></TD>
   </TR>
   <TR>
      <TD  COLSPAN=2 VALIGN="bottom">
          <TABLE WIDTH="100%" HEIGHT="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="bottom">
             <TR>
                 <TD WIDTH=121 HEIGHT=86 ALIGN="left" VALIGN="top">
                 <img src="widgets/gen_798.1.gif" border=0 width=121 height=86 alt=""></TD>
                 <TD BACKGROUND="widgets/gen_722.1.gif" VALIGN="top">

<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Home</A>|</nobr>

<nobr>|<a href="programs.html">Kirtan/Programs</A>|</nobr>

<nobr>|<a href="center.html">Braj Center</A>|</nobr>

<nobr>|<a href="vaisnava.html">VaisnavaAcademy</A>|</nobr>

<nobr>|<a href="cricket.html">Cricket</A>|</nobr>

<nobr>|<a href="india.html">VPS India</A>|</nobr>

<nobr>|<a href="BrajrasMagazine.html">VPS Magazine</A>|</nobr>

<nobr>|<a href="media.html">Media Coverage</A>|</nobr>

<nobr>|<a href="sponsors.html">Sponsors and Supporters</A>|</nobr>

<nobr>|<a href="award.html">Service Recognition Award</A>|</nobr>

<nobr>|<a href="prasadam.html">Prasadam Book</A>|</nobr>

<nobr>|<a href="donations.html">Donations</A>|</nobr>

<nobr>|<a href="contacts.html">Contacts/Board Members</A>|</nobr>
</center>
</font>

</TD>
                 <TD WIDTH=73 ALIGN="right" VALIGN="top">
                 <img src="widgets/gen_723.1.gif" border=0 width=73 height=86 alt=""></TD>
             </TR>
          </TABLE>
      </TD>
   </TR>
</TABLE>

<!-- EOF: ./personal-templates/simple/personal/layout/l22.layout -->

    
<!-- BOF: ./personal-templates/simple/themes.show.body -->


<script language="javascript">

for (i=0;i<=message.length-1;i++) {
    document.write("<span id='span"+i+"' class='spanstyle'>")
	document.write(message[i])
    document.write("</span>")
}

if (document.layers){
	document.captureEvents(Event.MOUSEMOVE);
}
document.onmousemove = handlerMM;
</script>
<!--script language="JavaScript1.2" src="widgets/cursor_text_body.js")></script-->


<script language="javascript">
	if (document.images)
	var staticlogo=new Image()
	staticlogo.src="images/image001.gif";
	var logolink = "index.html"
	var alttext=""

	var dist_vert=1


	var dist_hor=1


	var fadeintoview=1;
	var fade_dur=10
;

	var visibleduration=10; 

	var placement=4;  
</script>
<script language="javascript1.2" src="widgets/staticlogo1.js"></script>

<!-- EOF: ./personal-templates/simple/themes.show.body -->

</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


<script language="javascript">makesnake()</script>

<!-- EOF: ./personal-templates/simple/themes.show.end -->


</html>


<!-- EOF: ./personal-templates/show.body -->