Žiemos Kursai 2023

Camper Registration and Consent Form

Kviečiami moksleiviai, lankantys gimnazijos 9-12 klases, kurie nori praleisti savaitę Dainavos stovyklavietėje su kitais lietuviais katalikais ateitininkiškoje dvasioje. Šių metų kursai vyks nuo 2023 m. gruodžio 26 d. iki 2024 m. sausio 1 d.

This form MUST be completed and signed by each individual participating in any camping activity at Camp Dainava or, if the individual is under the age of 18, by that individual's parent or legal guardian.

Is the individual under the age of 18 on today's date? *

Yes

No

Is this individual working as a staff member for Camp Dainava? (This includes, but is not limited to, counselors, teachers, kitchen staff, clergy, administrative, etc.) *

Yes

No

Camper's Information:

First Name *

Last Name *

Date of Birth * +

Sex *

2022-2023 School Grade *

Street Address *

Address Line 2

City *

State *

Zip Code *

Email Address *

Autobusas:

Autobusas keliaus į abi puses:

Lemont (PLC) --> Dainava, gruodžio 26d., išvyksta 10:30v.r.

Dainava --> Lemont (PLC), sausio 1d., sugrįžta 2:00v.p.p.

Visiems norintiems bus išsiųsta atskira forma.

Ar keliausite autobusu?

Parent's/Legal Guardian's Information: