Bharatiya Cultural Center
Summer
Yoga Camp
Venue: BHARATIYA TEMPLE
HALL
Information: Kids ages 7 years
& up with possible Parental/Guardian Participation.
Program starting time: 10.00 AM
to 3.30 P.M.
from Monday JUNE 15th
- Friday, 19th-15.
OUR
MISSION: Yoga, Meditation,
Craft, Game, Reading, and Lots of Fun…..activity. Your Kid fosters
self-awareness and promotes health through yoga. Helping them realize their full potential
physically, academically, socially, and emotionally.
Bring your Lunch and yoga mat to participate
Are you BTI/ BCC member? Life Member / Annual Member for 2015: Yes / No
Did your child attend the 2015 Bharatiya
Vidyalaya classes? Yes / No
CHILD'S INFORMATION: Registration Form (Drop it OFF at BTI GIFT SHOP)
LAST
NAME
|
FIRST
NAME
|
DATE OF
BIRTH mm/dd/yy
|
MALE/FEMALE
|
FATHER’S
NAME
|
MOTHER’S
NAME
|
e-Mail
|
e-Mail
|
CELL
PHONE
|
CELL
PHONE
|
HOME
PHONE
|
|
STREET
ADDRESS
|
|
APT.
#
|
CITY,
STATE, ZIP
|
EMERGENCY CONTACTS
Ø Yoga Camp Registration Fee: $60
per child / Lunch you will pack it from Home. We will provide snakes &
drink. Registration
subject to availability of seats & resources.
Ø All
donations made to the Bharatiya Temple Inc or Bharatiya Cultural Center is tax
deductible. Check in favor of Bharatiya Cultural Center. These donations will help BCC to defray some
costs, facilitating the BCC to provide services for the BT / BCC Community.
Ø All
teachers and committee members of the Yoga Camp work purely as volunteers and do not receive
any compensation or remuneration from the Bharatiya Temple or Bharatiya
Cultural Center.
Ø If
your child have medical condition that
needs to be addressed, you must obtain
an appropriate note from your personal physician. Small children must be
accompanied by a parent or guardian.
Waiver and
Release: In consideration of
your accepting my child's participation in the above program, I hereby, for
myself and my child, waive and release Bharatiya Temple, Bharatiya Cultural
Center, and their officers, trustees, volunteers, teachers and members, and all
other persons participating in the program, or involved in planning or
execution of the program, from all liability or claims arising from any injury
to myself, my child, or my property.
NAME:
_________________________SIGNATURE: ___________________________
BHARATIYA CULTURAL CENTER, 1612 COUNTY LINE ROAD, MONTGOMERYVILLE,
PA 18936
Please contact: Rita
Sheth: 610-24-75-7472;
MYNAPA@AOL.COM
Sudha
Ganesh: 610-489-8275; Madhu : 215-631-9503;
Hemalatha: 610-239-7839
PLEASE FILLED UP THE FORM AND DROP IT OFF AT BTI GIFT SHOP AND PAY IN GIFT SHOP.