2024 Camper Registration Part I - General Registration

"*" indicates required fields

READ ENTIRELY BEFORE STARTING THE APPLICATION!

1. Registration must be completed by a Parent or Legal Guardian of the camper.

2. Entire Registration is online and in two parts.

Part I is for camper information, to submit camper birth certificate and for camp selection. Payment link will be made available after Part I is processed.
Part II is to submit a copy of health insurance ID, medical clearance form, and provide camper health information.

3. All entries will be processed in order of submission of the application and accuracy/validity of submitted documentation.

4. Camper application will be processed after Part I but a Camper is not enrolled until completion and acceptance of Part II of the application.

5. If any of the submitted information or documentation is inaccurate or cannot be validated, the application will be moved to the end of the waitlist.
To avoid getting waitlisted, please take the time to submit accurate & valid information!

6. Space is limited so the best chance for enrollment is to provide complete, accurate, and valid information in a timely manner. No applications or documents will be accepted after the due date.

7. All correspondence will be via parent's email address on this registration form. Please make sure to check your spam folder if you do not see a confirmation email in your inbox after this submission.

8. Multiple registrations for same camper name and birthdate combination are not allowed.

9. All Registrations will be voided if dispute is filed with Stripe, credit card company or bank.

10. All submitted information is stored on a secure website.

For more information, please contact onlinereg@vrajyouth.net or visit our website at www.vrajyouth.net.

I understand that no dietary preferences unless medically necessary will be accomodated.*

Vegetarian food containing onions, garlic, milk products and gluten is served. Unless required for a medical condition and stated on the Medical Clearance Form by a Physician, camp kitchen and dining facility cannot accommodate any dietary preferences. DO NOT submit the application if this is an issue.

Yes

I understand that my camper cannot bring any electronic devices at camp.*

Visit www.vrajyouth.net for cellular and electronic devices policy. DO NOT submit the application if this is an issue.

Yes

Parent Signature*

I have read and understand the camper registration policy and information above. I attest that all information provided in the application will be accurate and valid.

First Last

Camper Information

Parent Email Address*

This email address will be used for all camper registration and camp related communication. Please check spam if you do not receive an email after submission of this application.

Enter Email Confirm Email

Parent/Guardian Name*

First Last

Parent/Guardian Contact Phone*

Camper Name*

Only one application per camper name and birthdate combination is allowed.

First Middle Last

Camper Birth Date*

Pick year, month and day in that order using the calendar icon OR type in mm/dd/yyyy. Camper enrolling in younger kids camp must be 9 years old by the first day of the preferred camp. Camper enrolling in older kids camp must be 13 years old by the first day of the preferred camp.

Camper Gender*

Male

Female

CAMPS THAT ARE FULL WILL NOT SHOW IN DROPDOWN HERE. NO CAMPS WILL SHOW IF ALL CAMPS FOR THE AGE GROUP ARE FULL.

Pick a camp*

Camp options will be presented based on camper birthdate.

Upload copy of Birth Certificate*

Only 1 file upto 2 MB in size is allowed. A free mobile app such as DocScan by IFUNPLAY can be used to scan your document as pdf to meet 2MB size requirement.

Max. file size: 128 MB.

Home Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Camper Email Address*

Number of year(s) attended camp*

T-Shirt Size*

Does the camper have a sibling/(s) that will also attend as a camper this year?*

Yes

Payment Information

Once Part I is processed, a link will be sent to make payment. Part II link will automatically be sent to you once the payment is made. Please make sure to follow all timelines otherwise the application will be cancelled. Camp Fees: $675 Processing Fees: $24

Consent*

- I consent to the enrollment of my child in this youth gathering for the period indicated on this application.
- I understand that the Camp committee, at its discretion, may decline the application based on the review of the application and submitted documents if it is concerned about the well-being of my child or others at camp.
- I understand that my child cannot leave earlier than Saturday noon, unless explicitly requested by Camp Director.
- I grant permission for my child to receive all necessary treatment or urgent care, as necessary.
- I understand that I am liable for full payment of all medical and related expenses for my child during his/her stay at Vraj Camp.
- Vraj is not liable for payment of any medical and/or any other expenses for my child.
- My child has no/only mild allergy, as described by his/her physician.
- Vraj facilities are used for food preparation with peanuts, tree nuts, soy, milk and wheat.
- Vraj will not provide quarantined facility or meals with specific ingredients / dietary requirements.
- I understand that medically trained persons are not available at Vraj camp and temple. Vraj Camp facility is located in rural are of Wayne Township, PA. In case of emergency, it may take up to 45 minutes to reach a nearby hospital.
- As a parent, I understand that Vraj camp volunteers are not liable to provide adequate first-aid or health services.
- My child is able to take care of his/her health issue and able to take his/her regular and emergency medicine without any assistance.
- I, undersigned, hereby assume complete financial and other responsibility for all and every health and accident related expense on Vraj premises or on any excursions my child may take part in while attending Vraj Camp.
- I voluntarily waive, release, and hold harmless Vraj / PMVS, its board, employees, and other volunteers from all claims, accidents, injuries, or death that may result from any act or activities during camp.
- I understand that this gathering is informal family type of a gathering, and that the institution does not assume any legal responsibility of the attendee.
- I hereby release PMVS and its associates, workers and volunteers of any liability arising from any accidents or injuries that may occur to the camper while attending the gathering.
- I understand that hazing and bullying is criminal act and will not be tolerated at Vraj Youth Camp. All parties involved including witnesses have a responsibility to immediately report all incidents directly to the Camp Director with all necessary details. Without such cooperation, the Camp Director will not be able to take any immediate action. Appropriate action will be taken by the Camp Management as deemed necessary.
- I understand that my child will be sent home on finding of possession and/or use of Illegal drugs, marijuana, E-Cigarettes and/or cigarettes, gambling sets, alcohol or any other items that is not appropriate at Vraj. Vraj camp is smoke and drug free facility.
- Photographs and videos are for personal use only and not allowed for distribution or uploading online.
- I provide permission to use my child's photos taken at Vraj Youth events for Vraj related publications.
- My child will not carry a cellular device with him/her to camp. If a cellular device is found in his/her possession, it will be disposed off and not returned back to him/her or me.
- I may receive Vraj events related emails.
- I have read the Vraj Camp Rules and Regulations and we consent to abide by them.

I have read the consent and understand Vraj Camp Policies.

Parent Signature*

This field is not editable.

First Last

Hidden

Camp applied for - Admin

PMVS Tax ID

Phone

This field is for validation purposes and should be left unchanged.