jaincamp 2010 registration form
DESCRIPTION
Register for JainCamp today! JainCamp is taking place from August 5-8, 2010 in Acton, Ontario.TRANSCRIPT
![Page 1: JainCamp 2010 Registration Form](https://reader031.vdocument.in/reader031/viewer/2022020115/546a9f0db4af9f5d6f8b47a0/html5/thumbnails/1.jpg)
IIIMMMJJJMMM JJJaaaiiinnn YYYooouuuttthhh CCCaaammmppp 222000111000
For ages 10 – 17 Aug 5 – 8, 2010 Blue Springs Reserve, Acton ON $135/camper
Under the guidance of Late Shri Acharya Sushil Kumar Ji, hundreds of youth have enjoyed the International
Mahavir Jain Mission’s Jain Youth Camp over the last twenty years. The Camp continues to receive positive feedback from the community as it provides a rewarding experience for campers who grow personally, make new friends, and learn to apply Jainism in their daily lives.
The purpose of Camp is to nurture the spiritual, ethical, social, and personal development of youth through progressive, empowering, and fun camp programs that teach Jain fundamentals and customs while applying Jain philosophies to daily life.
Camp is a perfect blend of fun, spirituality and community-building with activities like:
Nature hikes Sports like Cricket, Kabadi, Soccer
Camp fires Arts & Music
Interactive discussions Lessons on Jain Philosophy & Customs
Holi/Diwali celebrations Talks on Peer Pressures & Media
Yoga, Meditation, Mantras Practicing how to live a Jain lifestyle
From August 5-8, 2010 join in the camp experience at the Blue Springs Scouts Reserve
in Acton, Ontario. The camp is open to youth aged 10-17. The subsidized cost of $135 per camper includes bus transportation (to and from the JSOT Center), comfortable dormitory-style accommodations, tasty and nutritious food, camp t-shirts, handbooks, and all programming.
For any further inquiries please email [email protected] or call any of the following Camp Organizers:
Suparsh Jain: (647) 896-5246; Madhu Jain: (905) 569-1287
Ambika Jain: (416) 494-3448; Konica Jain (IMJM Executive): (905) 780-9499
Looking forward to having an amazing camp experience with you at
IMJM Jain Youth Camp 2010.
![Page 2: JainCamp 2010 Registration Form](https://reader031.vdocument.in/reader031/viewer/2022020115/546a9f0db4af9f5d6f8b47a0/html5/thumbnails/2.jpg)
IMJM Jain Youth Camp
2010 Registration Form
The purpose of the Camp is to nurture the spiritual, ethical, social, and personal development of youth through progressive, empowering, and fun camp programs that teach Jain fundamentals and customs while applying Jain philosophies to daily life in North America.
CAMPER INFORMATION: (print clearly) New Camper Returning Camper
Last Name: ______________________________________ First Name: _____________________________________________
Male Female Birthdate: day: _____ / month:______ / year:_______ Camper’s Age as of Aug. 1, 2010: ________
Camper’s Home Address: ________________________________________________ City/Town: ________________________
Province: ____________________ Postal Code: _________________ Email: __________________________________________
Parent/Guardian #1: __________________________________ Parent/Guardian #2: __________________________________
Home #: (_____) _____________________________________ Home #: (_____) _____________________________________
Work #: (_____) _____________________________________ Work #: (_____) _____________________________________
Cell #: (_____) _____________________________________ Cell #: (_____) _____________________________________
Emergency Contact (if parents cannot be reached): _______________________________________________________________
Relationship: ______________________ Home #: _________________________ Work/Cell #:___________________________
Camper’s Health Card #: ______________________________________________ Version Code: _______________
Medical Conditions / Allergies / Medications (if any): ____________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
My child will be using the bus provided to go to and return from camp: (please circle) YES / NO
If the parents/guardians are unable to pick up the child from the Jain Centre at the end of camp, the child has permission to leave
with the following individual(s): (photo ID will be required prior to child being released to individuals listed)
Name: _____________________________________ Name: _______________________________________
Phone: _____________________________________ Phone: _______________________________________
While every precaution is taken for the safety and good health of our campers, IMJM Canada and IMJM Jain Youth Camp staff
and volunteers are released from any liability that may occur to the applicant camper during camp. I grant permission to the
IMJM Jain Youth Camp Staff to take any necessary steps in obtaining emergency medical care for my child if required.
Registration fees include transportation, accommodations, food, t-shirts, handbooks and programming. The cost is subsidized
and all donations are welcome.
I would like to complete the registration and have included a cheque of $135 Cdn payable to ‘IMJM Canada’.
I would like to reserve a spot by paying a non-refundable deposit of $35 Cdn and pay the balance before the start of Camp.
I would like to donate $_____ and have included a cheque payable to ‘IMJM Canada’ with ‘Jain Camp’ in the memo.
Parent/Guardian Email (for emailing out the Registration Information): _____________________________________________
Signature (Parent/Guardian): _____________________________________________ Date: __________________________
Please mail to: IMJM Canada, c/o Konica Jain
3 Cortleigh Court, Richmond Hill, Ontario L4B 3G9
For more information visit www.jaincamp.com ,
or contact the IMJM Jain Youth Camp Organizers at [email protected] or call numbers on reverse.
PROGESSIVE, EMPOWERING, FUN AND JAIN