Registration

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Winter Camp ( Dec 25 - 28, 2008)

AT PLACE – Howard Johnson 1701 J. David Jons Parkway, Springfield IL62702

Contact Phone at Springfield – 217-541-8762

This month the Gayatri Gyan Mandir is planning on having a local, winter camp. It will be local in the sense that we're holding it in-state and is only being advertised in and around the Chicagoland area.

The camp will be held in Springfield, IL from December 25th to the 28th. The approximate cost per person is $50. More information regarding exact pricing, transportation, as well as lodging will be provided in the next few days.

The camp is intended for people of all ages and is open to all parijans of the Gayatri Gyan Mandir as well as their friends and family.

If you are interested in attending this winter camp, getting more information, or have a question/comment please fill th form below.

Registration Fee: $50, Payment Accepted: Cash or Check

If paying by check please make payable to Gayatri Gyan Mandir

Deadline for Registration: December 14th, 2008

Gayatri Gyan Mandir

5N371 IL Rt.53 (Rohlwing Rd)

Itasca, IL 60143

(630) 250 – 8400

www.gayatrigyanmandir.org

Form

*Name:
*Address:
-:
City:
State:
Zip:
Phone Number:
Age:
Any medical condition or medication the participant may be taking:
Emergency Contact 1
Name:
Address:
City:
Zip:
State:
Emergency Contact 2 (someone other than parent)
Name:
Address:
City:
State:
Zip:
Registration Fee: $50, Payment Accepted: Cash or Check