Hindu Heritage Youth Camp 2025 Registration Form
Monday July 28th - Sunday August 3th (One form per child)
Youth Name
*
First Name
Last Name
Youth Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Youth Age
*
Email Address
*
example@example.com
Desired Name Tag
*
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select Camp shirt size
*
Small
Medium
Large
Extra-large
Please provide any Medical or Dietary restrictions:
Please provide any Allergies: (If yes, please give details below)
Back
Next
Family Information
Parent/Guardian's Name
*
First Name
Last Name
Contact Phone Number
*
E-mail Address
*
example@example.com
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Relationship to Youth
*
Medical Insurance Company
Policy #
Back
Next
How to register your Child: The cost per youth is $25 ($30 if registering on the day of camp)
1. Completed this camp registration form 2. Provide Payment to an executive member: (Payments can be made via Cash, *Zelle or ** Check) 3. If mailing payment, please mail to PO BOX 9003, Fort Lauderdale FL, 33310-9003
Note to Parents/Guardians
I will be responsible for arranging transportation to and from the camp. I hereby release the Florida Hindu Organization Inc., it’s Board of Directors, Officers, Camp Organizers and all personnel connected therewith, of any liability for any accidents or injuries which may occur while attending. In the event of an emergency where treatment by a doctor is deemed necessary, I hereby give permission for a representative of the Florida Hindu Organization Inc. to authorize physician(s) and hospital personnel to give my child/ward anesthesia and/or perform whatever medical and/or surgical treatment is deemed necessary at such time in my child’s/ward best interest. My health insurance provider and/or I am completely responsible for the payment of all expenses for any kind of medical and/or surgical treatment as a result of my child’s/ward’s participation in the camp.
Frequently Asked Questions
1. What time should I drop off my kids? The Mandir gates will be open by 8:30am. Camp starts promptly at 9am. 2. What is the latest time I can pick up my children? Camp finishes promptly at 5pm. The latest pick up time is 5:15pm. 3. How much does it cost to attend the camp? $25 per camper. 4. What type of food is served during camp? Campers will be served a vegetarian lunch, in addition to snacks in the morning and afternoon.
Camp Rules
Campers are NOT allowed to leave the Shiva Mandir grounds without permission from teachers. NO exceptions. Campers must wear loose fitting clothes only. Girls must wear long pants (no jeans) and T-Shirts. Boys can wear either ¾ pants or long pants (no short pants) and T-Shirts. (Required because of exercises and other activities). Campers must wear their name badges at all times while in camp. Campers must leave their folders, name badges and all other loaned materials (pens, pencils, etc.) with their group leaders before going home. The group leaders must safely store all loaned materials ingroup boxes at the end of the day. Every morning campers must report to their group leaders (or co-leaders) to get their folders and name badges. Only the group leaders are allowed to access the group boxes. Every morning group leaders must give attendance report to camp leaders. Campers are required to show respect to all camp leaders, group leaders and co-leaders at all times. Campers must listen and follow instructions given to them. Both parent/guardian and camper have read, understood and agree to the above.
Parent/Guardian Signature
*
Date
*
-
Month
-
Day
Year
Date
How did you hear about Camp?
Please Select
Email
Facebook
Print Ads
Radio
Referral
School Official
Others
*Zelle Payments
Please send to fhoshivamandir@gmail.com and add a note stating who the registration payment is for. Please ensure the email is saved in your phone’s contacts in order to complete Zelle transaction.
**Check Payments
Make check payable to “Florida Hindu Organization Inc. and please mail to PO BOX 9003, Fort Lauderdale FL, 33310-9003
Paid?
Yes
No
Partial
Late
Waived
Submit Form
Should be Empty: