Kids Camp Registration Form

Eldorado Mountain Yoga Ashram
Kids' Camp Registration

Thank you for submitting your registration. We will officially reserve a spot for your child / children on receipt of payment.

Parent Info

*First & Last Name

*Phone (primary)
(secondary)
*Address
(Address line 2)
*City

*State

*Zip Code

*Email

*How did you hear about Eldorado Kids' Camp?

Kid Info

First Name	Last Name (if different)	Date of Birth (MM/DD/YYYY)	Grade (as of NEXT school year)
		/ /
		/ /
		/ /
		/ /
		/ /
		/ /

Note: if you are registering more than 6 campers, or if different combinations of campers are attending different camp sessions, you will need to complete additional registration forms.

Kid Related Health Concerns (please elaborate on any serious health issues, medications to be administered during camp, etc)

General Notes (additional information, special requests, etc)

Camp Session Info (select camp sessions for this registration)

2014-2015 Winter Daycamp 1 (12/22/14-12/22/14)

2014-2015 Winter Daycamp 2 (12/23/14-12/23/14)

2014-2015 Winter Daycamp 3 (12/24/14-12/24/14)

2014-2015 Winter Daycamp 4 (12/26/14-12/26/14)

2014-2015 Winter Daycamp 5 (12/29/14-12/29/14)

2014-2015 Winter Daycamp 6 (12/30/14-12/30/14)

2014-2015 Winter Daycamp 7 (12/31/14-12/31/14)

2014-2015 Winter Daycamp 8 (01/02/15-01/02/15)

2014-2015 Winter Daycamp 9 (01/05/15-01/05/15)

2014-2015 Winter Daycamp 10 (01/06/15-01/06/15)

Payment Info

PaymentMethod
Notes	Include payment information such as check number, when we should expect your check to arrive, and any other pertinent details regarding your payment.

CANCELLATION POLICY
If it is necessary to cancel a confirmed camp registration that cannot be rescheduled, a week's notice is required for the full payment less a $30 handling fee to be refunded. No refunds are granted for less than one week's notice, no shows, or early departures.

CLASS REGISTRATION CONFIRMATION
Class size is limited. We make every effort to accommodate everyone who registers, but due to limited class size your place in a class will not be confirmed until your payment is received and we have sent you a confirmation by email.

Please call us at (303) 494-3051 if you have any further questions. Thank you very much for choosing to take a class with us.

Namaste,

The Shambhava Yoga Eldorado Mountain Yoga Ashram.

PRIVACY STATEMENT
At Eldorado Mountain Yoga Ashram, we are dedicated to protecting your privacy and handling your information in a secure and confidential manner. We know that having trust and confidence is important to you. We value the trust you have placed in us to protect your information.

Last updated 11/1/2014

Please contact us at:
Phone: 303-249-1671 or 303-494-3051
e-mail: Click Here

Eldorado Mountain Yoga Ashram Kids' Camp Registration

Thank you for submitting your registration. We will officially reserve a spot for your child / children on receipt of payment.

Eldorado Mountain Yoga Ashram
Kids' Camp Registration