2026 Camp Virsa Registration - June 29th to July 2nd

Child 1 Details

First & Last Name

Gender

Singh Kaur

Date of Birth

T-Shirt Size

Restrictions (Dietary/Allergies/Special Needs/etc)

Medication Needs ( I hereby authorize the Camp Virsa Organizers to consent to emergency medical treatment as needed of the youth and routine medical care, if required)

Yes No

Child 2 Details

First & Last Name

Gender Singh Kaur

Date of Birth

T-Shirt Size

Restrictions (Dietary/Allergies/Special Needs/etc)

Medication Needs ( I hereby authorize the Camp Virsa Organizers to consent to emergency medical treatment as needed of the youth and routine medical care, if required)

Child 3 Details

First & Last Name

Gender Singh Kaur

Date of Birth

T-Shirt Size

Restrictions (Dietary/Allergies/Special Needs/etc)

Medication Needs ( I hereby authorize the Camp Virsa Organizers to consent to emergency medical treatment as needed of the youth and routine medical care, if required)

Contact Information

Parent and Emergency Contact Information are Required Fields.

Full Name

This address will receive a confirmation email

Phone

Address

Emergency Contact

Name

Phone

Health Insurance Information

Health Insurance Name

Health Insurance ID

Primary Care Name

Primary Care Phone Number

Please fill Camp Virsa 2026 Release Form

Parent Signature

Parent Signature - This is to certify that my son/daughter named above will be attending Camp Virsa at GNFA with my consent. I release GNFA, Camp Organizers and Volunteers from all ensuing liabilities.

Electronic Signature*

Camp Fee

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

06-29-2026 to 07-02-2026

Please fill out the 2026 Camp Virsa Registration form and click submit. For more information, please reach out to campvirsa@gnfa.org

Age Groups: 7-10 years and 11-15 years

Registration Fee $185

REGISTRATION DEADLINE MAY 31, 2026

2026 Camp Virsa Registration - June 29th to July 2nd

Description

Please Fix the Following