Balaji Summer Youth Camp 2025 Application Form (9-17 Years Old Only)
This form is for campers who will be 9-17 years old during the camp dates (Sunday 27 July - Friday 1 August). The cost for the full camp (5 days) is £150. 

Once you have completed the form, please contact the Temple Office (0121-544-2256 - option 4) to make payment to secure your place. Spaces are limited and will be allocated on a first-come, first served basis, upon receipt of payment. 

The deadline for submitting this form is 11 May 2025. The deadline may be brought forward if all allocated spaces are already taken. 

Following closure of applications we will be sending out further details of the programme. We will endeavour to anticipate all queries in the application follow up. If still unaddressed, please write to us with your query at temple@venkateswara.org.uk
Sign in to Google to save your progress. Learn more
Camper Name *
Camper Date of Birth *
MM
/
DD
/
YYYY
Camper’s age at end of camp (01 Aug 2025) *
Camper Gender *
Parent/Guardian’s Name *
Parent/Guardian’s Contact Number *
Emergency Contact Name (if different) *
Emergency Contact Number (if different)
*
Parent's email Contact *
Address with postcode *
Details of medical conditions (if any)

Details of regular medication (if any)

Allergies/ Special Dietary Requirements   (if any)
Additional information that may be useful
Do you consent to any emergency medical treatment necessary during the camp?
*
Do you consent to photographs and videos of your son/daughter being taken at the camp to be used in temple publications?     
*

I hereby consent to my daughter/son taking part in the Balaji Summer Youth Camp 2025. I understand that while the adults in charge will take all reasonable care of the children, they cannot be held responsible for any loss, damage, or injury that may occur during the camp.

Parent/Guardian Name: 

*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report