Reg. Form: Santa Rosa Peace Camp Aug 3-7, 2021 cost $99.
You may send this form with $99. per child to Peace Camp, PO Box 448, Lakeport, CA 95453.
Make the check payable to Peace Camp We go by the postmark to determine priority.
Questions? Email Mary, our director, marymiche@JPS.net or leave a message on her phone (510) 845-8417
Child’s Name _________________________________________________Age (when camp starts)______
Parents’ Names _________________________________________________________________________
Phone Numbers cell____________________home_____________________ work___________________
Address of child ________________________________________________________________________
City _________________________________________________ Zip Code _______________Parent Signature __________________________________________________________ Date__________
parent email_____________________________________________________________________________
How did you hear about us?_______________________________________________________________
Click on link below to return to Peace Camp Website
We do not offer scholarships because we offer a low price for everyone rather than giving scholarships to a few children.
Click on the button above to fill out an online registration.
Please send a check to hold your spot at Peace Camp.
Make the check payable to Peace Camp and send it to PO box 448, Lakeport, CA 95453.
We do not hold a place open for unpaid registrations.
Questions? Email Mary, our director, marymiche@JPS.net or leave a message on her phone (510) 845-8417
Sorry, we are now full for 2016, check back next year
We offer just one week, Aug 3-7, 2021
Registration for 2021 opens in March
We will be taking only 20 children for the week.
