Please fill out the form that follows this information. The submitted form is emailed to
Umesh Shah and you at the email address
entered in the form.
After submitting the form, Send Payment Payment via Check, Venmo(@UMESH19) or Zelle(516-532-7221) for registration by Sunday, July 13, 2025 to
Umesh Shah
152 Lawrence Street, New Hyde Park, NY 11040
Phone: (516) 532-7221