Gopal Kidz Summer Camp Registration
Serving the mission of His Divine Grace A.C. Bhaktivedanta Swami Prabhupada. Sri Krishna Balarama Mandir, 680 E Calaveras Blvd, Milpitas, CA 95035 408-825-4555, gopalkidz@ihf-usa.org | www.facebook.com/gopalkidz
Child's Name
*
First Name
Last Name
Child's Gender
Male
Female
Age Group
3 to 5 years
6 to 10 years
Child's Age
*
Father's Name
*
First Name
Last Name
Father's Phone Number (WhatsApp)
*
-
Area Code
Phone Number
Mother's Name
*
First Name
Last Name
Mother's Phone Number (WhatsApp)
*
-
Area Code
Phone Number
E-mail
*
Camp Enrollment
*
Camp - Dec 23rd to Dec 27th
Payment
*
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Full Day Session (9:00 am to 5:00pm)
$199.00
$
199.00
Half Day Session (9:00 am to 1 :00 pm)
$120.00
$
120.00
4 Days Full Session ( 9 :00 am to 5: 00 pm)
$160.00
$
160.00
Enter coupon
Apply
Total
$0.00
$
0.00
Any Special Requests like Food allergies, please mention here.
In case of any questions? Please email to gopalkidz@ihf-usa.org.
Register & Complete Payment
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