2019 Tam Bao Youth Retreat Registration
Registration Form for Youth Retreat - Jul 26-28, 2019
Đơn ghi danh Khóa tu Thanh thiếu niên – 26-28 tháng 7, 2019

Event Address/Địa điểm:
TAM BAO TEMPLE, 975 Monterrey Blvd, Baton Rouge, LA 70815

Phone/Điện thoại: (225) 389-6434

Email: batonrougebuddha@gmail.com or tdaoquang@yahoo.com

By participating the Youth Retreat, I hereby grant Tam Bao Temple permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

Email address *
Are you: *
Participating as:
Participant's Name *
Your answer
Camper's Age
SCROLL LEFT TO RIGHT FOR MORE OPTION. Counselor or Volunteer does not need to response
Age 5
Age 6
Age 7
Age 8
Age 9
Age 10
Age 11
Age 12
Age 13
Age 14
Age 15
Age 16
Age 17
Age 18
T-Shirt Size
SCROLL LEFT TO RIGHT FOR MORE OPTION. The T-shirt does not shrink too much. Please choose your shirt size conservatively if you are unsure. It is always easier to wear slightly larger shirt. Registered Volunteer will be given priority on T-shirt supply.
Youth S (8)
Youth M (10)
Youth L (12)
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Camper's Phone Number
For Emergency, if available
Your answer
Onsite Guardian's Name *
For Emergency Contact. Last Name, First Name
Your answer
Onsite Guardian's Phone Number *
For Emergent Contact.
Your answer
Onsite Accommodation? *
Please response to your onsite Accommodation in order to assist planning.
Please contact Chùa Tam Bảo at chuatambaobr@gmail.com for scheduling Pick Up and Drop Off time window And Rider Count for your group.
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