Reg. Form: Peace Camp, canceled due to lack of grant funds
Please send this form with a $25 non-refundable deposit per child. Make the check payable to Peace Camp. Send it to: Peace Camp, P.O. Box 448, Lakeport, CA 95453. We go by the postmark to determine priority. Balance is due two weeks before camp begins. Scholarships no longer available.
Questions? Email Mary, our director, at marymiche[at] JPS.net or call (510) 845-8417 to leave a message.
Child’s Name _______________________________________Age (when camp starts)____Session______
Parents’ Names _________________________________________________________________________
Phone Numbers (H) ____________________(W)_____________________ (Extra)___________________
Address of child ________________________________________________________________________
City _________________________________________________ Zip Code _______________Parent Signature __________________________________________________________ Date__________
parent email_____________________________________________________________________________
How did you hear about us?_______________________________________________________________
Click below to return to Peace Camp Website
We do not give out scholarships because we have lowered the price for everyone. Everybody gets a scholarship.
