36th Annual Vedic Heritage Youth Camp (July 8th - 14th, 2019 - Daily: 8:30 AM to 4:30 PM)
         Topic: "Sankara - The Jewel of Hinduism" (Grades: Pre-K to 12th)
Extended Summer Camps: Session 1: July 15th - July 19th, 2019 * Session 2: July 22nd - July 26th, 2019
         Topic: "Sankara - Teachings for a Young Mind" (Grades: KG to 8th)
(Camp Fees: $300/- for 1 week; $575/- for 2 weeks; $850/- for 3 weeks attendance.)
(Sibling discount $25/child/week)
(Fees includes all camp materials and activities, meals, snacks, supervision before and after camp hours. Field Trips at cost)

Registration is a three step process: Form, Confirmation and Payment

Parent Information (* Required fields - Please enter all required fields):
* First Name * Last Name
* Address
* City * State * zip
* Emergency Contact Name * Emergency Contact Phone
Cell Phone * Home Phone
* Father's email Mother's email
* Who referred you to this camp:
(Previous attendee/Bala Vihar student/e-mail from asian community network, DesiTalk, Hi-IndiaTimes, etc.)
* Will be you interested in car pooling: * Will be you interested in Volunteering:

Payment menthod, please select appropriately:
Paying by CC Paying by Check Paying by Cash
(For paying by CC option, you will be taken to the credit card payment page via paypal.)

PLEASE NOTE THE CHILDREN WILL BE IN THE SAME GRADE IN THE CAMP AS THEY WILL BE IN SEPTEMBER 2019. PLEASE MAKE SURE YOU ENTER THE CORRECT GRADE IN THE FORM BELOW AS REQUESTED - GRADE IN SEPTEMBER 2019

Child 1 (* Required fields - Please enter all required fields):

* First Name * Last Name * Date of Birth (Only in MM/DD/YYYY)
* Grade (Entering in Sept 2019) * Gender:
* Camp Weeks (Minimum attendance 1 week):: Annual Youth Camp
      (July 8 - 14)
Extended Camp 1
      (July 15 - July 19)
Extended Camp 2
      (July 22 - July 26)
* Pediatrician Name: * Pediatrician Phone:
* Medical Issues (Include Food Allergies)
If no allergies or no medical issues, please enter None.
Comments

Child 2 (Sibling 1) (* Required fields - Please enter all required fields):

* First Name * Last Name * Date of Birth (Only in MM/DD/YYYY)
* Grade (Entering in Sept 2019) * Gender:
* Camp Weeks (Minimum attendance 1 week):: Annual Youth Camp
      (July 8 - 14)
Extended Camp 1
      (July 15 - July 19)
Extended Camp 2
      (July 22 - July 26)
* Pediatrician Name: * Pediatrician Phone:
* Medical Issues (Include Food Allergies)
If no allergies or no medical issues, please enter None.
Comments

Child 3 (Sibling 2) (* Required fields - Please enter all required fields):

* First Name * Last Name * Date of Birth (MM-DD-YYYY)
* Grade (Entering in Sept 2019) * Gender:
* Camp Weeks (Minimum attendance 1 week): Annual Youth Camp
      (July 8 - 14)
Extended Camp 1
      (July 15 - July 19)
Extended Camp 2
      (July 22 - July 26)
* Pediatrician Name: * Pediatrician Phone:
* Medical Issues (Include Food Allergies)
If no allergies or no medical issues, please enter None.
Comments


(NOTE: More then 3 siblings, please contact Suresh Kumar (630-362-0104) to manually add the additional child(ren) after completing the registration!)