Houston Sikh Youth Camp - Winter 2016

Winter 2016 camp dates:

Thu Dec 22nd - Tue Dec 27th

 

Registration dates:

Tue Nov 1st - Thu Dec 15th

*Note: Registration is first come first served and spots may fill up before Dec 15th

How many siblings are you registering? *

1st Sibling

Camper Information

Gender *
 +
Number of Camps Attended in the Past *
What Musical Instrument Will You Bring?
 

Camper Medical Information

0/255 characters
Do you take any medicine regularly? *
0/255 characters
Allergies? *
Has medical insurance? *

2nd Sibling

Gender
 +
Number of Camps Attended in the Past
What Musical Instrument Will You Bring?
 

Camper Medical Information

0/255 characters
Do you take any medicine regularly?
0/255 characters
Allergies?
Has medical insurance?

3rd Sibling

Gender
 +
Number of Camps Attended in the Past
What Musical Instrument Will You Bring?
 

Camper Medical Information

0/255 characters
Do you take any medicine regularly?
0/255 characters
Allergies?
Has medical insurance?

Parent/Guardian Information

0/255 characters

Payment Information

Pay with *
Note: When paying with check or cash, your registration is not confirmed until payment is submitted.
Also, if you are paying with cash, select 'Pay by check' on the next page to finish your registration.
 
Total amount due:  $210
Total amount due:  $400
Total amount due:  $590

Parent/Guardian Consent

I, the Undersigned (and my Parent), agree to the following: 

  1. I Understand that my failure to maintain such standards or failure to properly participate in camp activities or maintain befitting discipline and conduct may result in suitable and reasonable punishment, including expulsion from the camp, at my expense without any refund of fees paid.
  2. I Hereby waive any and all claims, against the Sikh Center and its volunteers, arising to take whatever action they feel is warranted under the circumstances in regard to my health and safety, including securing medical treatment (at my own or my parent’s expense).  I further release any of these persons from any liability for such decisions or actions, which may be taken on my behalf
  3. I understand that I must respect the facility and leave it in the way I found it at the beginning of the camp.  I will be liable to pay a fee as set forth by the organizers if I, or any of my roommates bring any damage to the room or facility that I am using. All of the campers in each room are all responsible for that room. The damages fee will divided among all of the camper in that particular room in question. 
  4. Must pay at least $150 before being officially registered.  If cancellation occurs after Dec 15th no refunds will be offered.  Before Dec 8th 50% of the registration fee will be returned.
  5. During the stay at Houston Sikh Youth Camp, various volunteer doctors will
    be assisting my child(ren) with various minor ailments.  I have fully
    disclosed all relevant allergies or medical conditions to the Houston Sikh
    Youth Camp.  I will not hold the doctors professionally or personally
    liable for the administration of medicine or any health care during the
    duration of the camp.
Electronic Consent: Parent/Guardian *

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