Camp Santosh

Book now and get CAD $100.00 off listed prices. Offer valid until May 30, 2024.

* These fields are required

1 Parent/Guardian's Information

First name of second parent or guardian
Last name of second parent or guardian
Email of second parent or guardian

Child's First Name *
Child's Last Name *
Age *
Child's Email *
Please provide the name and phone number of your child’s doctor. *
Please tell us anything specific about your child that we should know, e.g. allergies, food sensitivities. *
Sex *
Birth Date *
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Emergency Contact Info *	In the event of an emergency, who may be contacted? Please provide a name and contact number.
Special Diet Needs?	Vegan Gluten free Nut free If you have celiac disease, a severe nut allergy, or any other special dietary requirement other than the above 3 options, please write to the Centre to check if we will be able to accommodate your request (retreat@artofliving.ca). Note that we do not have a separate kitchen for those with severe allergies and cannot guarantee there will be no cross contamination.
Diet Notes
Medical Issues *	Enter "none" if you have no issues
Check off from the following which you suffer from	Uncontrolled high blood pressure Diabetes Cardiovascular disease Lung disease Clinical depression Anxiety disorder Bipolar disorder Schizophrenia Schizoaffective disorder None of the above
Please list any food restrictions or allergies your child has.
Sibling Discount Code

Please list any social/emotional/behavioural challenges you have observed in your child (if any).
Has your child spent a night away from home without the parents?
What are any special talents or skills your child has?
Please describe your child’s personality, to the best of your ability (shy, outgoing, etc)
Please list any medication your child is currently taking.
If you need translation, please select one of the options.	These are the only two options for translation.
Program Cancellation Policy *	I accept the Program Cancellation PolicyProgram Cancellation Policy Written cancellation requests received up to 10 days before the course start date -- Full refund minus $100 processing fee. Written cancellation requests received 10 days or less before the program starts: Program expenses not refundable. VVM Program fee refundable minus $100 cancellation fee No shows for ANY program: No refunds Please note: Any exceptions to the policy eg in the case of medical emergency will require a written request along with submission of a letter from physician or other relevant documentation; and will be considered by the administration once all documentation is provided. Exceptions are not guaranteed. The course fee cannot be applied towards a future VVM program.
Program Participant Agreement	Please click here to review the program participant agreement
I agree to the Program Participant Agreement *	Yes