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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 jaincamp@gmail.com 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.

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 jaincamp@gmail.com or call numbers on reverse.

PROGESSIVE, EMPOWERING, FUN AND JAIN