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North MW Karyakarta Family Camp 2017 in Chicago
Registration form for Mid West Karyakarta Family Camp - North 2017. This karyakarta family camp is for karyakartas and families from Chicago, Wisconsin and Minnesota vibhags.

1. Camp details: From 7 pm, Friday 2nd June 2017 to 12 PM, Sunday 4th June 2017 (Post Lunch)
2. Address: Hoover Forest Preserve Camp; 11285 W Fox Rd, Yorkville, IL 60560
3. Camp Fee:
a. Children below 5: No Fee
b. Children age - 5-12 Year: $30
c. All others: $40
Maximum shulka for a family of 4: $120
4. Camp Fee payment to be done upon arrival at campsite. Mode of payment is Cash or Check drawn in favor of HSS
5. Please carry your Insurance card with you to the camp as it may be needed in case of any emergency.

Name (First Name Last Name)
Your answer
Age Group
Email ID
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Cell Phone #
Your answer
Shakha Name
Family Member Details
Add details of your family members attending the KKV with you
Name (First Name Last Name): Family Member - 1
Your answer
Age Group
Name (First Name Last Name): Family Member - 2
Your answer
Age Group
Name (First Name Last Name): Family Member - 3
Your answer
Age Group
Notes / Special Instructions
Anythings that you would want to convey to us so that we can make your stay in the camp pleasent
Your answer
Accept Terms
Terms and Conditions Indenminty I agree to RELEASE, INDEMNIFY, AND HOLD HARMLESS Hindu Swayamsevak Sangh (USA), Inc., and its officers, directors, representatives, agents, and volunteers ("the Indemnified Parties") from all claims for damages or injunctive relief resulting from my participation in the event organized by HSS or its subsidiary ("the Event"), including any claim alleging that damages or injuries were caused by the NEGLIGENCE of any of the Indemnified Parties. I further give permission to Hindu Swayamsevak Sangh (USA), Inc., and its officers, directors, representatives, agents, and volunteers present at the Event to authorize any emergency medical or surgical treatment deemed to be in my best interest if I am unable to do so. I further agree to assume full responsibility for the payment of all fees and expenses incurred for any such emergency medical or surgical treatment so received. For children (any person age 18 or younger): As the legal parent or guardian of my children I agree to RELEASE, INDEMNIFY, AND HOLD HARMLESS Hindu Swayamsevak Sangh (USA), Inc., and its officers, directors, representatives, agents, and volunteers ("the Indemnified Parties") from all claims for damages or injunctive relief resulting from my child's participation in the events organized by HSS or its subsidiary ("the Event"), including any claim alleging that damages or injuries were caused by the NEGLIGENCE of any of the Indemnified Parties. I further give permission to Hindu Swayamsevak Sangh (USA), Inc., and its officers, directors, representatives, agents, and volunteers present at the Event to authorize any emergency medical or surgical treatment deemed to be in the best interest of my child if I am unavailable or otherwise unable to do so. I further agree to assume full responsibility for the payment of all fees and expenses incurred for any such emergency medical or surgical treatment so received.
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