Summer Camp 2023 – Adult Registration

Donation Amount:

£ 85.00

Personal Info

Title *

First Name *

Last Name *

Email Address *

Your Details

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Address Line 2

Town

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Mobile Number

Medical Conditions and Food Allergies

If any, please state your medical conditions. If none put NA

Please state if we should be aware of any food allergies. If none put NA

Emergency Contact Details

Emergency Contact 1: Full Name

Emergency Contact 1: Contact Number

Emergency Contact 1: Relationship

Emergency Contact 2: Full Name

Emergency Contact 2: Contact Number

Emergency Contact 2: Relationship

Data Protection and Consent

Yes No

By ticking this box I give consent to SHREE SWAMINARAYAN SATSANG (S.S.S) to use my personal Data (including any personal Data that might subsequently be provided to SHREE SWAMINARAYAN SATSANG (S.S.S). DATA PROTECTION: SHREE SWAMINARAYAN SATSANG (S.S.S), also known as Stanmore Temple, Shree Swaminarayan Temple Stanmore, and associated entities under SHREE SWAMINARAYAN SATSANG (S.S.S), would like to continue to send you news and information about our religious and social activities, events and services by email, text, telephone or other electronic methods.

Payment is non-refundable

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

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Address 1 *

Address 2

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Donation Total: £85.00