2018 Mindful Children's Summer Camp at Hsi Fang Temple - Camper Application
All children age 6 to 12 are welcome to join us for this year's summer camp, which will be from June 23 (9am) to June 24 (4:30pm) at Hsi Fang Temple, with a focus on mindfulness throughout the whole camp. Closing Ceremony will be on June 24th at 3pm in the Temple Main Shrine. Come support your children as they receive awards and perform!

The main objective of this camp is for the children to learn how to work together, nurture wisdom and improve themselves by practicing how to Do Good Deeds, Speak Good Words and Think Good Thoughts. During this camp, the children will be learning facilitated through engaging games, creative art and crafts, meditation, storytelling, movie (Coco) and discussion in a mindful way.

Early bird registration by 5/20/18 $60, and registration after 5/20 to 6/8/18 will be $70.

Ways to pay for the camp fee:
1. Pay in Person at Hsi Fang Temple
2. Mail check payable to S.D.B.A.
3. Pay online: click this link https://goo.gl/EMWimY

The camp fee will mostly use to defray the cost of two camp T-shirts, arts & crafts materials, 2-day meals, and one-night stay at the temple and other misc. costs incurred. Campers will spend one night in the dormitories under counselor supervision. Please let us know if your child does not wish to stay at temple overnight, so we can arrange for you to pick them up.

If you have any questions, please contact us at hsifangtemplesummercamp@gmail.com or Venerable Miaozang at 619-298-2800.

Hsi Fang Temple address: 4536 Park Blvd., San Diego, CA 92116

Looking forward to seeing you all at camp!

Auspicious Blessings,
2018 Summer Camp Leaders

Child's Information
Has this child participated in Children's Summer Camp before? *
Child's Full Name (Last, First) *
Your answer
T-Shirt Size (kids' size) *
Child's Date of Birth (mm/dd/yyyy) *
Your answer
Child's Age *
Your answer
Child's Gender *
Special Medical Conditions (ie Asthma, Food Allergies, etc) if applicable *
Your answer
Medications (list or write "N/A") *
Your answer
Family Information
Father's Full Name (Last, First) *
Your answer
Mother's Full Name (Last, First) *
Your answer
Siblings at camp (if applicable)
Your answer
Primary Contact
(ie Parent, Legal Guardian)
Full Name (Last, First) *
Your answer
Relation to Child *
Your answer
Relation's Address (Street, City, State, Zip) *
Your answer
Relation's Phone Number *
Your answer
Relation's Email (Please provide an email that is checked frequently. We will contact this email in all future communications.) *
Your answer
Emergency Contact
Full Name (Last, First) *
Your answer
Relation to Child *
Your answer
Emergency Contact's Phone Number *
Your answer
Authorization and Waiver of Claims for participation in 2018 Children's Summer Camp
Authorization and Waiver *
Required
How did you hear about Summer Camp?
Additional Comments
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms