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Khalsa Centre Family Camp July 21st 2023

Welcome to Registration for Camp!

Family Camp will be July 21st to 23rd, 2023.

Please arrive at Khalsa Centre 14100 Stave Lake Rd, Mission, BC, between 6-7pm on July 21st.

Family Camp will end at 1pm on July 23rd.

You need to make arrangements for your own ride to Khalsa Centre.

Please fill out this form in full. Includes general information, medical information, and medical consent forms. All medical information is confidential.

For fields for which your answer is 'Not Applicable', enter no or 0.

For further questions, contact us at: 604-908-5575 or email

We would like campers to learn and participate according to their comfort and willingness, and we hope to make camp an enjoyable and enlightening experience. Your honest answers to these questions would therefore help us in accomplishing this goal.

There will be a $325 fee for a family of up to 4, each additional family member will be $70.00. This fee will cover the cost of the campers’ lodging, meals, workshops and recreational rentals.  FEES ARE NON REFUNDABLE.

Thank you for your participation. We look forward to having you at Camp!

Waheguru Ji Ka Khalsa! Waheguru Ji Ki Fateh!

Primary Registrant's Information

(Camper 1)

Singh or Kaur

Emergency Contact Info

Contact person in case of emergency.

Registrant 2 Information

Singh or Kaur

Registrant 3 Information

Singh or Kaur

Registrant 4 Information

Singh or Kaur

Registrant 5 Information

Singh or Kaur

Registrant 6 Information

Singh or Kaur

Allergy information for family

Does the Registrant suffer from any of the following medical conditions?:

Registrant Consent Agreements

Medical Information

All of the medical information is accurate as of today’s date. If there are any changes between now and the camp, I agree to notify Khalsa Centre Staff with updated information.

Consent to Medical Treatment

I agree that the camp staff, counselors and volunteers accept no liability in connection with the supervision or administration of medication to my child.

Camp staff will not supervise the administration of prescribed medication to students unless the parent or guardian expressly authorizes the administration of medication at Camp, the parent or guardian provides explicit written instructions regarding the manner in which the medication is to be administered, and there are staff available to undertake this task.

I do hereby consent to administering prescription medication and to emergency medical treatment to my son/daughter while he/she is at Khalsa Centre @ Miracle Valley.

By entering my name below, I am providing my signature agreeing to all written above.
(If camper is under 19, below must be signed by parent/guardian) *

Consent Form

I, (Parent or Guardian or camper if over the age of 19), give my son/daughter permission to attend and participate at the Sikh Youth Camp at Khalsa Centre @ Miracle Valley in Mission, BC.

I understand that my child will be participating in activities such as bus ride to and from Surrey to Khalsa Centre, kirtan darbars, lectures, workshops, sports, and any other activities the organizer may deem fit for this Sikh Youth Camp. I understand that Satnam Education Society, its officers, directors, trustees, employees, volunteers, agents, servants, predecessors, successors, parents, and associated companies are not liable for any injury that occurs to any participant while participating in any camp activities or loss of any property of any participants.

I give permission for my son/daughters pictures/audio/video to be taken and give permission for the materials to be used on camp related advertising, website, pamphlets, etc.

(If camper is under 19, below must be signed by parent/guardian) *

General Information

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