Spritual Warriors Boy's Camp Registration
Please submit a separate form for EACH child attending.

Event Dates: June 9-12, July 8-10, August 7-12
Event Address: Gita Nagari Farm - 534 Gita Nagari Rd, Port Royal, PA 17082
Contact us at (717) 527-4101 or nandisvaradas@gmail.com

Child's First Name
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Child's Last Name
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Child's Age
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Parent/Guardian First Name
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Parent/Guardian Last Name
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Parent/Guardian Email Address
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Parent/Guardian Phone Number (List All)
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Parent/Guardian Home Address
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Emergency Contact (List Name and Phone #)
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