Camper Registration

Parent Name *
Parent Name
Address *
Address
Phone *
Phone
How many children will you be registering? *
How did you hear about Camp Sikh Virsa? *
Insurance Information
All insurance information will be kept stricly confidential.
Medical Action Consent *
By checking the box below, I agree that If any of the persons listed in this form become ill or incapacitated, I grant Camp Sikh Virsa or its volunteers full authority to take whatever action they feel is warranted under the circumstances in regard to their health and safety, including securing medical treatment (at my expense). I further release any of these persons from any liability for such decisions or actions that may be taken on my behalf.
Camper #1 Information
Gender *
Date of Birth *
Date of Birth
First-time Camper? *
Meal Preference *
T-shirt size *
Please: all sizes are adult sizes.
Please list any allergies, medical concerns, medications, etc. If none, please write N/A.
Sevas
Please check which sevas your child is capable of leading during divaan.
If there is any information about your child that you would like us to know, please include that here. If you plan to drop your child off late, pick them up early, or remove them from the campsite during camp for any reason, please include that information here as well.
Camper #2 Information
(if only registering one camper, please leave the rest of the form blank, scroll to the bottom, and click submit)
Gender
Date of Birth
Date of Birth
First-time camper?
Meal Preference
T-shirt size
Please note: all sizes are adult sizes
Please list any allergies, medical concerns, medications, etc. If none, please write N/A.
Sevas
Please check which sevas your child is capable of leading during divaan.
If there is any information about your child that you would like us to know, please include that here. If you plan to drop your child off late, pick them up early, or remove them from the campsite during camp for any reason, please include that information here as well.