Peace Camp Registration

PLEASE  READ: Please view our website: www.peacecamp.com for details of our program. Our day camp is one week only in summer, dates listed on the website. The cost is $99.00 for the week (includes the cost of swimming).  If you plan to have your child attend, you will need to send a check payable to Peace Camp, PO Box 448 Lakeport CA 95453 after you fill out this registration form.  If you register here but do not send a check, we cannot save a place for your child.  We go by the postmark on the check to determine priority.  We have only 20 spaces.  Please call or email if you have questions. If you are registering two or more children in one family, please put both names on the form since you can only fill out the form once per computer.

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Date of registration

Date / Time

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Child's full Name:

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Age of child on August 1 this year

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Parent's Full Name (s)

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Parent's email address

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Parent's cell phone number

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Other Parent's cell phone number

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Home address of the child

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Home City and Zip code of child

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How did you hear about Peace Camp?

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