VYC Presents: Winter Retreat 2023

Jai Shree Krishna

VYC is pleased to announce that the 2023 Winter Retreat for those 18 years or older!
Please arrive at 10AM on Saturday, January 7th. Retreat will end by 8 PM.
Meals will be served!
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Email*
Personal Cell Phone Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Are you vaccinated against Covid-19?*
- Yes, I'm fully vaccinated!
- No, I only received one dose
- I'm not vaccinated
To prioritize everyone's safety, we request only those that are vaccinated attend!
Any allergies we should be aware of? (Leave blank if N/A)
Emergency Contact*
First Last
Emergency Contact Phone Number*
VYC Media Upload Policy*
I agree to the VYC media upload policy.
Vraj Youth Committee reserves the right to upload all media captured at events to be utilized on all official Vraj Youth related outlets.
VYC COVID-19 Policy*
I agree to the VYC COVID-19 policy
Vraj Youth Committee expects all event attendees to be responsible and comply with the CDC recommendations such as wearing a face mask and practicing social distancing - even if an individual is fully vaccinated.

Please do not attend if you, or someone you have recently come into contact with, experience any of the following COVID-19 related symptoms:
• Fever or chills
• Cough
• Shortness of breath or difficulty breathing
• Fatigue
• Muscle or body aches
• Headache
• New loss of taste or smell
• Sore throat
• Congestion or runny nose
• Nausea or vomiting
• Diarrhea

This list does not include all possible symptoms and children and youth with SARS-CoV-2 infection may experience any, all, or none of these symptoms.