----Camp Registration Form----

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To be filled by every participant. A hard copy with parent's signature has to be mailed in before the camp starts. You can download the form in Adobe Acrobat (PDF) format HERE. You will need Adobe Acrobat Reader which can be downloaded from HERE. Only the first 100 (one hundred) registrations will be accepted.

Name
Gender		Male Female
Date of Birth Age		Month Date Year years
Please select the group that you belong to (if unsure, just skip):		Group I (7 - 10 years) Group II (11 - 14 years) Group III (15 - 19 years)
Parent's Name
Street Address
City
State
ZIP Code
Phone (Home)
Phone (Work)
Phone (Cell)
Fax
E-Mail
I hereby authorize the Sikh Youth Gurmat Camp authorities to consent to emegency medical or surgical treatment of the youth and to routine (non-surgical) medical care, if required. The Health Insurance information is provided below:
Name of the Health insurance
Address of the Health insurance
ID
Emergency Tel #
Please find Check Number(s) Payable to *GHISS* for $ ($180/youth) as a donation to cover registrations alongwith a signed registration form in the mail.
Any additional comments that you may want to make:

For further information or to receive a complete registration package, contact: Gurdeep Singh President, GHISS 18502 Thundercloud Road Boyds, MD 20841 Tel: (301) 528 2222 E-mail: gurdeep@sikhlink.net