AVG 2022 Summer Camp Application
For questions please contact Shivam at shivamgosai@gmail.com or call the AVG office at +15709922339. Please also visit https://arshavidya.org/childrens-camp/ for updates.
Name of Camper 1 (you will be allowed to add additional camper's later)
*
First Name
Middle Name
Last Name
Child 1 Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Other
Child's Age
*
Ex. 11 years old
Child's Grade (What grade will they be going into during summer 2020?)
*
Ex. 8th grade
Parent/Guardian Email
*
example@example.com
Camper's Phone Number (if available)
Format: (000) 000-0000.
Camper T-shirt size (shirts are in adult sizes)
*
XS
S
M
L
XL
Camp Session
*
Family Vedanta Course - July 23 - July 29 (Adults Welcome but not required)
Family Vedanta Course - July 31 - Aug 6 (Adults Welcome but not required)
Family Vedanta Course - Aug 7 - Aug 13
Will your child be residing at AVG during the camp? Select one.
*
Yes
No, they will commmute
Please list the name of all ADULTS residing at AVG (separate with commas).
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Covid-19 Information
Will your child be fully vaccinated by the time of the camp?
*
Yes, we are expecting that to be the case
Yes, my child is already fully vaccinated
If no, unfortunately, we cannot accommodate your child this year.
Other
If possible, please upload image of vaccine card. If not, you can do so at AVG.
Browse Files
Cancel
of
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Medical Information
Medical Insurance Company
Medical Insurance Number
If possible, please upload image of insurance card. If not, you can do so at AVG.
Browse Files
Cancel
of
Does the camper have food allergies and/or asthma?
*
Please explain on the field provided
Is the camper currently under medication?
*
Please provide the details, the name of the medication and period of intake
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Contact Information in Case of Emergency
Name
*
First Name
Last Name
Contact Number
*
-
Area Code
Phone Number
Relation to camper
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name 2
First Name
Last Name
Contact Number 2
-
Area Code
Phone Number
Relation to camper
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Camp Regulations
Please type your name - by typing your name you are agreeing by the above conditions
*
Would you like to register more children?
*
Yes
No
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Name of Camper 2 (you will be allowed to add additional camper's later)
*
First Name
Middle Name
Last Name
Child 2 Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Child's Age
*
Ex. 11 years old
Camper's Phone Number (if available)
*
Format: (000) 000-0000.
Camper 2 T-shirt size (shirts are in adult sizes)
*
XS
S
M
L
XL
Camp Session
*
Children's Course I: July 23- July 29
Children's Course II: July 21 - Aug 6
Family Vedanta Course III: August 7 - Aug 13
Will your child be residing at AVG during the camp?
*
Yes
No, they will commmute
Will they be with residing with guardians or unaccompanied at AVG (Camp 1 and 2)?
*
Yes. they will be staying with family members at AVG
No, they will be unaccompanied and reside with volunteers
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Medical Information for Child 2
Will your child be fully vaccinated by July 17th?
*
Yes, we are expecting that to be the case
Yes, my child is already fully vaccinated
If no, unfortunately, we cannot accommodate your child this year.
Other
If possible, please upload image of vaccine card. If not, you can do so at AVG.
Browse Files
Cancel
of
Does the camper have food allergies and/or asthma?
*
Please explain on the field provided
Is the camper currently under medication?
*
Please provide the details, the name of the medication and period of intake
Would you like to register more children?
*
Yes
No
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Next
Name of Camper 3 (you will be allowed to add additional camper's later)
*
First Name
Middle Name
Last Name
Child Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Child's Age
*
Ex. 11 years old
Camper's Phone Number (if available)
*
Format: (000) 000-0000.
Camper T-shirt size (shirts are in adult sizes)
*
XS
S
M
L
XL
Camp Session
*
Children's Course I: July 23 - 29
Children's Course II: July 26 - Aug 1
Family Vedanta Course III: Aug 2 - Aug 8
Will your child be residing at AVG during the camp?
*
Yes
No, they will commmute
Will they be with residing with guardians or unaccompanied at AVG (Camp 1 and 2)?
*
Yes. they will be staying with family members at AVG
No, they will be unaccompanied and reside with volunteers
Back
Next
Medical Information for Child 3
Will your child be fully vaccinated by July 17th?
*
Yes, we are expecting that to be the case
Yes, my child is already fully vaccinated
If no, unfortunately, we cannot accommodate your child this year.
Other
If possible, please upload image of vaccine card. If not, you can do so at AVG.
Browse Files
Cancel
of
Does the camper have food allergies and/or asthma?
*
Please explain on the field provided
Is the camper currently under medication?
*
Please provide the details, the name of the medication and period of intake
Would you like to register more children?
*
Yes
No
Back
Next
Name of Camper 4 (you will be allowed to add additional camper's later)
*
First Name
Middle Name
Last Name
Child Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Child's Age
*
Ex. 11 years old
Camper's Phone Number (if available)
*
Format: (000) 000-0000.
Camper T-shirt size (shirts are in adult sizes)
*
XS
S
M
L
XL
Camp Session
*
Children's Course I: July 19- July 25
Children's Course II: July 26 - Aug 1
Family Vedanta Course III: Aug 2 - Aug 8
Will your child be residing at AVG during the camp?
*
Yes
No, they will commmute
Will they be with residing with guardians or unaccompanied at AVG (Camp 1 and 2)?
*
Yes. they will be staying with family members at AVG
No, they will be unaccompanied and reside with volunteers
Back
Next
Medical Information for Child 4
Will your child be fully vaccinated by July 17th?
*
Yes, we are expecting that to be the case
Yes, my child is already fully vaccinated
If no, unfortunately, we cannot accommodate your child this year.
Other
If possible, please upload image of vaccine card. If not, you can do so at AVG.
Browse Files
Cancel
of
Does the camper have food allergies and/or asthma?
*
Please explain on the field provided
Is the camper currently under medication?
*
Please provide the details, the name of the medication and period of intake
Would you like to register more children?
*
Yes
No
Back
Next
Name of Camper 5 (you will be allowed to add additional camper's later)
*
First Name
Middle Name
Last Name
Child Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Child's Age
*
Ex. 11 years old
Camper's Phone Number (if available)
Format: (000) 000-0000.
Camper T-shirt size (shirts are in adult sizes)
*
XS
S
M
L
XL
Camp Session
*
Children's Course I: July 19- July 25
Children's Course II: July 26 - Aug 1
Family Vedanta Course III: Aug 2 - Aug 8
Will your child be residing at AVG during the camp?
*
Yes
No, they will commmute
Will they be with residing with guardians or unaccompanied at AVG (Camp 1 and 2)?
*
Yes. they will be staying with family members at AVG
No, they will be unaccompanied and reside with volunteers
Back
Next
Medical Information for Child 5
Will your child be fully vaccinated by July 17th?
*
Yes, we are expecting that to be the case
Yes, my child is already fully vaccinated
If no, unfortunately, we cannot accommodate your child this year.
Other
If possible, please upload image of vaccine card. If not, you can do so at AVG.
Browse Files
Cancel
of
Does the camper have food allergies and/or asthma?
*
Please explain on the field provided
Is the camper currently under medication?
*
Please provide the details, the name of the medication and period of intake
Would you like to add more campers
*
If yes, please fill out a new form
If no, click here.
Back
Next
After submission, please call Vimalaji at the AVG office (570-992-2338) to pay the registration fee and confirm your registration. Please inform her of any adults attending the retreats and how many rooms needed.
Submit - Please Press HERE
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