Email connect@hkmchennai.org

Location 63, 1st Seaward Rd, Valmiki Nagar,
Thiruvanmiyur, Chennai,
Tamil Nadu 600041, India.

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WINTER CAMP REGISTRATION FORM

1.Child’s Information :

Full Name : *

Date of Birth (DD-MM-YYYY) *

Age *

Gender *

School Name : *

Current Class/Grade : *

2.Parent/Guardian Information :

Full Name : *

Relationship to Child : *

Contact Number (Primary) : *

Alternate Contact Number :

Email *

Residential Address *

3.Medical Information :

Allergies (food, medicine, etc.,) :

Any medical conditions we should be aware of :

Medication (if any) :

Doctor’s Name :

Doctor’s Contact Number :

4.Camp-Related Details :

Age Group : *3 to 7 yrs8 to 13 yrs

Course Fee : Rs. 1500 for Age Group 3 - 13 yrs

G-pay number : 9600815108

(Please select BASICS FOUNDATION under Businesses)

Screen shot of payment made (after the completion of payment) : *

No file chosen

Signature of Parent/Guardian : *

No file chosen

5.Consent & Declaration :

I give permission for my child to participate in all winter camp activities.I consent to basic first aid being administered if needed.I allow photos/videos of my child to be used for camp-related promotions.

Activities

SPIRITUAL DISCOURSES
YOUTH EMPOWERMENT CLUB – FOLK
DISTRIBUTION OF SPIRITUAL KNOWLEDGE
CULTURAL FESTIVALS
SUNDAY RETREATS
YUGA DHARMA
ASK A QUESTION

Festivals

RATHA YATRA
SRI NITYANANDA TRAYODASHI
SRI GAURA PURNIMA
SRI RAMA NAVAMI
SRI NARASIMHA JAYANTI
PANIHATI CHIDA-DAHI UTSAVA
BALARAMA PURNIMA
SRI KRISHNA JANMASHTAMI
VYASA PUJA
SRI RADHASHTAMI
VAMANA JAYANTI
GOVARDHANA PUJA
DEEPOTSAVA

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FOUNDER-ACHARYA

HOW TO REACH

Contact Us

63, 1st Seaward Rd,

Valmiki Nagar, Thiruvanmiyur,

Chennai, Tamil Nadu 600041,

India.

Ph: +91-9789057101

Email : connect@hkmchennai.org

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