Registration for Boys Camp 2024 at Temple of Harmony in Joliet, IL

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This 5-day summer camp will begin with check in between 4:00PM and 6:00PM on Wednesday, June 26th and conclude at 5:00PM on Sunday, June 30th. The age range of this camp is 11-16. Participants do not have to be initiated into Kriya Yoga. No fee is required, but donation is encouraged (suggested donation: 200 dollars)

Parent or guardian(s) full name: *

Full name of camper(s) *

Address *

Birthday of camper 1 *

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Birthday of camper 2 (if applicable)

YYYY

Birthday of camper 3 (if applicable)

YYYY

Telephone number of parent(s) or guardian(s). *

Email of parent(s) or guardian(s). *

What particular skills or interests would your child like to share with the group during your time at the Temple of Harmony?

Please list any medical conditions that the child has:

Please list any allergies that the child has:

If the child has any dietary restrictions, please explain:

I understand that I will be notified in the case of a medical emergency involving my child. In the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill. Please initial below.
*

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