To be filled by every participant. Only the first 100 (one hundred) registrations will be accepted.

Participant Information

 
Particpant's Name
Gender Male
Female
Date of Birth


Age

Month Date Year

 years
Please select the level that you belong to
(if unsure, skip):

Level 1 Junior (6 - 8 years)
Level 1 Senior (8 - 10 years)
Level 2 (10 - 14 years)
Level 3 (14 - 20 years)
Parent's Name
Street Address
City
State
ZIP Code
Phone (Home)
Phone (Work)
Phone (Cell)
Parent's E-Mail
Participant's E-Mail

Health Insurance

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 #

COVID-19 Vaccination

This is a fully vaccinated camp. All campers attending camp must have received their final dose of an approved COVID-19 vaccine at least 14 days prior to the first day of camp and have proof of vaccination.

Date of first dose of COVID-19 vaccine:
Date of second dose of COVID-19 vaccine:

Additional Comments

Any additional comments that you may want to make:

Upon submitting the form to GHISS, you will receive a link to the payment page where you must pay a donation of $275/youth. Please note that the registration is not complete till we receive the payment.
For further information or to receive a complete registration package, contact:


Gurdeep Singh
President, GHISS
P.O. Box 151
Boyds, MD 20841

Tel: (301) 528 2222
E-mail: sikhstudies@gmail.com