Start Date: September 6th, 2015 @ 11:00am

Location: Gayatri Gyan Mandir

Ages: 5-18

Non-refundable registration fee: $40

Please Make Checks Payable to: Gayatri Gyan Mandir

Checks can be given to:

Gayatri Gyan Mandir

5N 371 IL Route 53 (Rohwling RD )

Itasca, IL 60143

Registration is confirmed only after payment is made in full.

For further questions please E-mail or Call: or call - (630) 250-8400

Please submit the required questions and sign the attached Legal Waiver form.

Thank you,

Gayatri Pariwar Youth, Chicago

Full Name