Registration

Contact Details

Email address *

Confirm Email address *

Car License Plate

Home Phone

Cell Phone *

Address *

City *

State *

Zip *

Region *

Center *

Member Details: (Please note that email address is required for Adults, YAs and SSE4 (grade 12), it can be same as primary email address if separate email address is not available.)

Click here for the Rate-Sheet

General Details of Person-1

$0

First Name *

Last Name *

Gender *

Age Group *

Email Address *

Stay Option *

Camp Stay *

Cell Phone*

Role in Center/Group*

Total for all:

$0

Other Details

Car Pooling

NOTE: Please note that the Region will not arrange rides but will connect the devotees (via email) needing rides with those offering rides and also make this information available to Sai Centers.

None

Can give ride for devotee(s).

Need ride for devotee(s).

Other Details

Dietary Restrictions (if any) - Please specify which participants have which restrictions:

Special Needs:

I have a child/children aged 3-5 and would like pre-SSE care

Please check if this is your first Retreat

Check if you would like to be contacted in the future by email for information about Regional Sai events

Agreement

By signing and submitting the registration form, I hereby agree to abide by the rules of the Sri Sathya Sai International Organization, USA.