CMKC Spring Term Registration Form 2025-26

CHINMAYA MISSION KANSAS CITY SUMMER CAMP Registration 2026

“Children are our future…We must strive to mold them to think correctly, to judge rightly and to have the heroism to live up to their convictions.”
Hari Om!
Use this form to enroll your child in Chinmaya Summer Camp 2026.

Dates: Monday, June 1 – Friday, June 5, 2026
Camp Hours: 8:30 AM – 4:30 PM
Check-in: 8:00 – 8:30 AM | Check-out: 4:00 – 4:30 PM

Location: Prairie Star Middle School

Eligibility:
Open to all children (Chinmaya members and non-members).
For children entering 1st–6th grade (as of September 1, 2026).
Enrollment limited to 50 children, first-come, first-served.

Fees:
Early Bird: $225 (until March 15, 2026)
Regular: $250 (March 16 – May 17, 2026)
Registration closes May 17, 2026.
Early registration is encouraged to secure a spot and the Early Bird rate.

Important:
Please ensure timely drop-off and pick-up each day.

More Info:
https://www.chinmayakansascity.org/activities/summer-camp

Contact:
Raji Prakash or Shilpa Aarudappagari
Email: summercamp@chinmayakansascity.org
Parent / Guardian Contact Information
Parent Information
Parent Name*

First NameLast Name
Parent E-mail*
example@example.com
Parent Mobile Phone *
Emergency Contact Information - Other than the name listed above
Relationship*
Emergency Contact's Name*

First NameLast Name
Emergency Contact's E-mail*
example@example.com
Emergency Contact's Mobile Phone*
Primary Contact's Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent Willing to Volunteer:
Dates Available*

Monday, June 1stTuesday, June 2ndWednesday, June 3rdThursday, June 4thFriday, June 5th
Areas to help:*

FoodGames / SportsClassroom HelperCultural ActivitiesFriday, June 5th
Informed Consent and Acknowledgement: I hereby give my approval for my child’s participation in any and all activities prepared during the selected camp.*

AgreeI do not agree
Children Information
Number of Children*
Name Child1*

First NameLast Name
Date of Birth Child1 *

MonthDayYear
Date
Gender Child1*

MaleFemale
Grade Child1 (as of Sept 1st, 2026)*
Name Child2*

First NameLast Name
Date of Birth Child2 *

MonthDayYear
Date
Gender Child2*

MaleFemale
Grade Child2 (as of Sept 1st, 2026)*
Name Child3*

First NameLast Name
Date of Birth Child3 *

MonthDayYear
Date
Gender Child3*

MaleFemale
Grade Child3 (as of Sept 1st, 2026)*
Name Child4*

First NameLast Name
Date of Birth Child4 *

MonthDayYear
Date
Gender Child4*

MaleFemale
Grade Child4 (as of Sept 1st, 2026)*
- Camp Dates & Hours:
  
  June 1 – 5, 2026 | 8:30 AM – 4:30 PM, Monday–Friday
  
  Drop-off: 8:15 – 8:30 AM | Pick-up: 4:15 – 4:30 PM (prompt pickup required)
  
  Attendance & Early/Late Pick-up:
  - Sign your child in/out daily.
  - Notify coordinators in advance for early pick-up or late drop-off.
  Dress Code:
  - Knee-length shorts/skirts (leggings under skirts), closed-toed shoes required.
  What to Bring:
  - Spout water bottle (labeled)
  - Nut-free, egg-free, gelatin-free vegetarian lunch & 2 snacks (labeled)
  - Extra clothes in a labeled Ziploc bag
  Food Policy:
  - Children pray before meals
  - All beverages must be in a labeled spout bottle
  Behavior & Hygiene:
  - Children must be responsible, respectful, kind, cooperative, and honest.
  Registration & Refunds:
  - Register online; date of completion = registration date
  - Refunds: Full until April 15 | 50% April 16 – May 17 | None after May 17
  - Policy exceptions handled case-by-case
  - Modified camp policies/dates = refund of paid amount
  Parent Volunteers:
  - Each family is requested to volunteer 1–2 days. Confirmation will be sent by email.
  Waiver & Rules Forms:
  - Provided by Camp coordinators after registration is complete
- Online Payment Options*
  
  CashCheckPayPal / Credit Card
- Regular Camp Fees ($250.00 x Number of Children)
- Total Camp Fees (after applying Early Bird Discount of $25 per child)
- Total Camp Fees (after applying Early Bird Discount of $25 per child) paid using PayPal
  
  prevnext( X )
  USDTotal Camp Fees to be paid
- Please read the following instructions regarding payment:
  
  Once you selected the appropriate option listed above, click on the submit button.
  - Payment by Cash:
    Please submit your cash payment in person during Chinmaya Mission Sundays at the front desk.
  - Payment by Check:
    After submitting this form, please write a check for the above amount payable to “CMKC.”
    You may submit the check at the front desk or mail it to the address below:
    Chinmaya Mission Kansas City
    15711 Cedar St., Overland Park, KS 66224
  - Online Payment Using PayPal:
    After you click the Submit button, you will be redirected to the PayPal payment page to complete your payment.
  - Registration will only be complete when the payment is received.
- Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
- Signature
  
  Clear
- Date
  
  MonthDayYear
  Date
  Hour MinutesAM/PM Option
- Payment Methods
  
  Choose from one of the PayPal options to make your payment.
- Should be Empty:

CHINMAYA MISSION KANSAS CITY SUMMER CAMP Registration 2026

Parent Willing to Volunteer:

Children Information