Camp Virsa 2025 Registration Form

June 12-15

ONE form PER attendee!
Registration fee is $40 per child (does not include special outside activities like trampoline park).
Forms and payments are due by April 30th.
You can pay via cash or Venmo.
Cash can be submitted to any member of our team
Venmo: @Harpreet-Kaur-164
1.Attendee name and age
2.Are there any food allergies?
3.If yes, please list allergies:
4.Applicants knowledge level of Gurmukhi reading/writing
5.Applicants knowledge level of keertan
6.Parent/Guardian Name
7.Parent/Guardian Email
8.Parent/Guardian Phone#
9.By signing below, I give permission and consent for myself/my child to allow photographs/videos to be taken during the video. I further give permission and consent that any such photographs may be published and used by Columbia Youth Sikh Society and its voluteers to illustrate and promote the camp experience, including but not limited to social medial pages.