Camp Registration Form - "Balvihar Camp May 2022"
Child/Teenager Info
Add Child
First Child/Teenager Full Name *
Birth Date *
Gender *
Male
Female
Other
School Name
Is the child attending a Balvihar class?
Sevika Name
Place
Email ID
Contact
Remove Child
Second Child/Teenager Full Name *
Birth Date *
Gender *
Male
Female
Other
School Name
Is the child attending a Balvihar class?
Sevika Name
Balvihar Class
Email ID
Contact
Remove Child
Third Child/Teenager Full Name *
Birth Date *
Gender *
Male
Female
Other
School Name
Is the child attending a Balvihar class?
Sevika Name
Balvihar Class
Email ID
Contact
Parent/Guardian Info
Add
Name *
Relation
Parent
Guardian
Mobile *
Email *
Gender *
Male
Female
Age*
Occupation*
Organisation*
Payment Info
Payment Mode *
Cheque
Postal Address *
Area *
City *
Child between Age 2 to 4 Count
Child between Age 5 to 12 Count
Child between Age 13 to 17 Count
Parent/Guardian Count
Pincode *
Any Other Info *
Select Parent Coming *
Select Parent Coming
Yes
No
Age Group
Before
30-Apr-2020
Between
01-May To 01-May-2020
Between
01-May To 01-May-2020
2 to 4 Years
RS. 2750 Per Head
RS. 3000 Per Head
RS. 3250 Per Head
5 to 12 Years
RS. 4000 Per Head
RS. 4250 Per Head
RS. 4500 Per Head
13 to 17 Years Adults
RS. 5000 Per Head
RS. 5250 Per Head
RS. 5500 Per Head
Amount
?
(Please check payment slabs)
Would you like to introduce someone to the Camp/Mission?
References 1
Name
Email ID
Contact No.
References 2
Name
Email ID
Contact No.
Are you a first time Camper? *
Yes
No
Camps List
My Guru My Shankara 2011
Game of Life 2012
Rise and Shine 2013
Epic Moments, the awesomeness of the Mahabharata 2014
Geeta for Children 2015
Values - Your SELFie 2016
# GYS Navigating Bharat 2018
Tell Me Why 2019
Are you a Chinmaya Mission Member?
Would you need transportation facility? If yes, then we will arrange it at an addditional cost.
Note:
Children will be grouped age wise:
2-4 years, 5-8 years, 9-12 years 13-17 years
A parent/relative MUST accompany children under 9 years of age. Children 9 years and above can participate with or without an accompanying adult. Parents sessions will be taken separately. Only parents/relatives of children participating in the camp will be allowed. Others please excuse non-admission.
Please note that -
(i) atleast one parent must be present during the sessions along with every child who is under 5 years of age.
(ii) The volunteers and sevikas for the camp are neither qualified nor capable of handling children with special needs.
Age Group Classification: e.g - If a child's age is more than 4.5 years, it is considered in the age group of 5-8.
If you have opted for cheque payment, then cheque to be issued in favour of “
Chinmaya Seva Trust
”.
Camp donation is non-refundable. *
I have read and agree to abide by the terms and conditions.*
REGISTER
CLEAR
