Meditation and Life
Camp Acharya: Acharya Vivek Gupta, Niagara Falls
A Spiritual Retreat For Chinmaya Setu Kari (Ages: 28 - 45)
Friday, May 25
th
to Monday, May 28
th
, 2018
Click here to visit the retreat web site for complete details.
Retreat Registration Form:
Full retreat: $250/person with hotel accommodation for Double Occupancy & $130/person without the hotel accommodation
Partial retreat: $130/person
[Fields with "*" are required]
FirstName*
LastName*
Address*
City*
State*
Zip*
Home Phone*
Cell Phone *
Date of Birth *
(MM-DD-YYYY)
(Only for People born on or after May 29, 1972 and born before May 26, 1990)
Email (Camp Attendee's email)*
Male
Female
Emergency Contact
Emergency Number
Retreat Option:
Retreat with the hotel - $250/person (Double Occupancy)
Full/Partial Retreat without the hotel - $130/person
Medical Issues
[e.g. allergies, etc.]
Additional Comments
Please choose a payment method (
If any issues, please call Suresh Kumar 630-362-0104
):
Paying by Check
Paying by Cash
Paying by CC
(For paying by CC option, you will be taken to the credit card payment page via paypal.)
