Reg. Form: Peace Camp Berkeley: cancelled.
Please send this form with a $50 non-refundable deposit per child.  Make the check payable to Peace Camp. Send it to: Peace Camp, P.O. Box 448, Lakeport, CA 95453.  Balance is due two weeks before camp begins. Questions?  Email Mary, our director, at marymiche[at]

Child’s Name _________________________________________________Age (when camp starts)______

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 have the funds to offer Peace Camp this year.