Registration for Summer Camp

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Registration for Summer Camp - PRAJNA DFW

JETUSA Inc. is organising Summer camp in Irving - A fun filled Learning A:ditya Hrudayam Yuddha Ka:nda - Va:lmi:ki Ra:may:ana by resident acharya Sri:man Yugandhara swami

Fun Filled Learning Summer Camp - Irving

First Name : *

Last Name : *

Age *

Parent/Guardian Name *

Parent/Guardian Email id *

Parent/Guardian Phone number *

Siblings First Name :

Siblings Last Name :

Age

Any Allergies/Food Allergies

In case of emergency Notify

I agree that JETDFW Center may take child's Photograph and use it to promote the purpose of JETDFW center with no compensation due me. It is the intention of the undersigned by this instrument to exempt and relive JETDFW center and JETUSA Inc. from liability of personal injury,property damage or wrongful death caused by negligence during the camp.By signing this form I understand that it is my primary responsibility as parent /guardian to transport my child to drop and pick up daily to the class.

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