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Register for HHC - Riverside
Date:
Saturday, April 11, 2026 - 10:30 am to 2:30 pm
Location:
9292 Magnolia Avenue, Riverside, CA, USA 92503
Coordinator:
Anand Vishnoi -
anand.vishnoi@gmail.com
Chapter:
Narasimha Shakha
Primary Contact Information
First Name *
Last Name *
Email Address *
Phone Number *
Age *
Gender *
Select gender
Male
Female
Other
Prefer not to say
Address *
City *
State *
Zip Code *
Family Members Attending
Add Family Member
Emergency Contact
Contact Name *
Relationship *
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Parent
Guardian
Relative
Family Friend
Other
Phone Number *
Consent and Agreement
View Consent Form
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I have read and agree to the consent form terms and conditions
Self/Parent/Guardian Name (Required for minors) *
Register Family for Camp