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]JPS.net
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?_______________________________________________________________