38th Annual Vedic Heritage Youth Camp
(July 23rd - 28th, 2022 - Daily: 9 am to 4 pm)

         Topic: "Dharmaratha - Chariot of Success" (Based on Lanka Kanda of Ramacharitha Manasa)

Youth Camp Registration Form
(For Grades: Pre-K to 12th)
(Religious classes, Yoga, Arts & Crafts, & Cultural Program)
(Donation: $150/child - Includes camp material, meals, snacks, & supervision before and after camp hours.)

Registration is a three step process: Fill Form, Confirm and Pay

Parent Information (* Required fields - Please enter all required fields):
* First Name * Last Name
* Address
* City * State * zip
Cell Phone * Home Phone
* Father's email Mother's email
* Which Chinmaya Mission Center:
* Who referred you to this camp:
(Previous attendee/Bala Vihar student/Email from Asian Community Network, DesiTalk, etc.)

Payment method, please select appropriately:
Paying by CC Paying by Check Paying by Zelle to accounts@mychinmaya.org
(For paying by CC option, you will be taken to the credit card payment page via paypal.)

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

* First Name * Last Name * Date of Birth (Only in MM/DD/YYYY)
* Grade (In 2022-2023) * Gender:
Interests/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 (In 2022-2023) * Gender:
Interests/Comments

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

* First Name * Last Name * Date of Birth (MM-DD-YYYY)
* Grade (In 2022-2023) * Gender:
Interests/Comments


(NOTE: More then 2 siblings, please contact Suresh Kumar (630-362-0104) to manually add the additional child(ren) after completing the registration!)

If paying by check, please mail the check payable to "Chinmaya Mission Chicago" to the following address:
Chinmaya Mission Chicago
11S080 Kingery Hwy (Rte. 83)
Willowbrook
IL 60527