INDIVIDUAL REGISTRATION FORM

For group registration please register here

Please send a non-refundable one time registration deposit of $100 per person to

N-Sang Seng Hkawn
6016 Misty Arch Run
Columbia, MD 21044
senghkawn@kachinfamilycamp.org

First Last    
Address Ap't #    
City State Zip Code
Telephone: Cell #    
Email        

Gender
Age
Roomate Preference (Two per room)
M
F
    

Arrival Date Departure Date

Means of Transportation
Automobile Train Number of nights in the dormitory (more than three nights)
Bus Plane

If airport pickup is needed, state details. (If not known now, please notify at a later date)


Airline
Flight #
Arrival time in Philadelphia

Airline
Flight #
Departure Time

Would you like to take the bus tour to New York City on Monday, May 28? (Cost: $30 per person)

  
 

© Kachin Family Camp 2007