Reg. Form: Santa Rosa Peace Camp Aug 5-9, 2019  cost $99.
 Please 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, 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 or print the registration below and mail it with your check.
Sorry, we are now full for 2016, check back next year
   Peace Camp is open for 2019 registration!!
    We offer just one week, Aug 5-9, 2019