General InformationCity *State/Province *Please select an optionAlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNewfoundland and LabradorNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukonCountry *USA/CanadaUnited StatesCanadaHealth Insurance Company *Health Insurance Group ID *Health Insurance Member ID *Emergency InformationFirst Name *Last Name *Cell Phone *Volunteer InformationFirst Name *Middle/Last Name *Singh/KaurKaurSinghFull Legal Name *List ALL other legal names this volunteer has been known by (maiden name, etc)? *if none enter "NONE"Date of Birth *Email Address *Cell Phone *Has this person volunteered at SYANA Camp before? *Yes/NoYesNoShirt Size *CS-A3XChild SmallChild MediumChild LargeAdult SmallAdult MediumAdult LargeAdult XLAdult 2XLAdult 3XLDoes this volunteer have any drug allergies? *Yes/NoYesNoDrug AllergiesDoes this volunteer have any food allergies? *Yes/NoYesNoFood AllergiesDoes this volunteer require an epi-pen? *Yes/NoYesNoDoes this volunteer have any prescriptions? *Yes/NoYesNoPrescriptionsDoes this volunteer have any dietary restrictions? *(vegan, gluten free, etc)Yes/NoYesNoDietary RestrictionsDoes this volunteer have any special health or physical limitations? *Yes/NoYesNoSpecial ConsiderationsHas this volunteer ever been convicted of anything other than a minor traffic violation? *Yes/NoYesNoConvictionsCamper Count *Background Check *You authorize SYANA Gurmat Camp to collect, process, and disclose this personal information for the purposes of conducting a background check.Please agree to this waiver and photo release. *I hereby grant SYANA permission to use my likeness in a photograph, video, or other digital media ("media") in any and all of its publications.Please agree to our cell phone policy: *At SYANA Gurmat Camp, we prioritize creating an environment that fosters meaningful connections with sangat, immersive experiences, and personal growth for our campers. To ensure that every camper can fully engage in camp, we have established the following cell phone policy: Restricted Usage: Cell phones are not permitted during certain parts of the day, including Gurdwara divaan, classes, and evening activities. People are required to leave their phones in their dormitories during these designated times. Permissible Usage: People may use their cell phones solely during sports time or excursions, such as trips to waterfalls, where they may need them for photography, communication, or safety purposes. Lights Out Policy: In consideration of others, cell phone usage is prohibited after lights out at nighttime. If someone needs to use their phone as an alarm clock, they are reminded not to set multiple repetitive alarms to prevent unnecessary disturbance to fellow campers. Disclaimer: The camp administration holds no responsibility for any damage, loss, or theft of cell phones. It is your responsibility to ensure the safety and security of their personal belongings. By adhering to this policy, we aim to cultivate an environment where campers can fully immerse themselves in the camp experience, build lasting friendships, and embrace the opportunities for growth and discovery. We appreciate the cooperation of campers and their families in upholding these guidelines.Failure to adhere to this policy may result in the confiscation of devices by camp sevadaars.Please agree to this waiver regarding medical treatment. *I, the undersigned, parent/guardian of the above names person, a minor, do hereby authorize SYANA as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by and is to be rendered under the general or special supervision of any physician and surgeon licensed under the provisions of the Medical practice Act on the medical staff of any accredited hospital, where such diagnosis or treatment is rendered at the office of said physician or at said hospital. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care which the aforementioned physician in the exercise of his/her best judgment may deem advisable.Would you like to make an additional donation?Please enter the amount you'd like to donateTotal Volunteers:Total Cost:Total Cost:Would you like to cover the paypal fees? *Paypal charges us 2.99% + 50 cents per chargeYes/NoYesNoDiscount CodeGrand TotalSubmitPlease do not fill in this field.