2020 Peace Camper Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Peace Camp For Kids 2020: "Peacemakers: A Bright Spot in Our World"

Week One: "Peaceful bodies, peaceful deeds,” Tuesday, July 14 and Thursday, July 16
Week Two: "Peaceful garden, peaceful world," Tuesday, July 21 and Thursday, July 23
Week Three: "Peaceful minds, peaceful community," Tuesday, July 28 and Thursday, July 30

Camp will take place through online meetings to accommodate COVID-19 social distancing guidelines

Who: Children entering first grade through eighth grade in September 2020 are eligible for Peace Camp 2020

Fees:
One week $15
Two weeks $25
All three weeks $30

Scholarships available--please email PeaceCampWB@gmail.com and ask!

Email *

Child #1 full name *

Child #1 date of birth *

YYYY

Child #1 most recent grade completed *

Child #1 will attend: *

All three weeks ($30)

Week One Only ($15)

Week Two Only ($15)

Week Three Only ($15)

Weeks One and Two ($25)

Weeks One and Three ($25)

Weeks Two and Three ($25)

Child #2 full name

Child #2 date of birth

YYYY

Child #2 most recent grade completed

Child #2 will attend:

All three weeks ($30)

Week One Only ($15)

Week Two Only ($15)

Week Three Only ($15)

Weeks One and Two ($25)

Weeks One and Three ($25)

Weeks Two and Three ($25)

Clear selection

Child #3 full name

Child #3 date of birth

YYYY

Child #3 most recent grade completed

Child #3 will attend:

All three weeks ($30)

Week One Only ($15)

Week Two Only ($15)

Week Three Only ($15)

Weeks One and Two ($25)

Weeks One and Three ($25)

Weeks Two and Three ($25)

Clear selection

Parent or guardian name *

Parent or guardian phone *

Parent or guardian home address *

Parent or guardian e-mail address *

Emergency contact name *

Emergency contact phone number *

Emergency contact e-mail address *

Emergency contact relation to child(ren) *

Any issues that we should be aware of: (Use another sheet of paper if needed)

About attending Peace Camp remotely:

1. We will send you a link to join the Zoom class meeting. You will NOT need to set up a Zoom account or input any information except for student’s first name and last name initial. Please go to Zoom.us for more details about the system.
2. Each meeting will be live and interactive. Please make sure your student is in a quiet place where a parent can monitor the session. Please remember that everything within the camera viewing area will be visible to the teacher and other students.
3. Sounds & voices can be captured by your device’s microphone and heard by others in the Zoom session. Teachers will mute participants for portions of the session but may unmute participants during discussion or to hear questions.
4. During live sessions, participants may hear and see anything within the audio and camera viewing areas. Please make all household members aware of this. Hanging “Live Video Session” signs around the area or turning the monitor/device camera toward a wall can help with controlling the area.
5. These sessions will be recorded for viewing by the teachers to review their classes for quality and content. For privacy reasons, recordings will not be made available for students who were unable to attend that session.
6. Please review our Participant Code of Conduct policy (http://peaceandjusticecenter.com/peacecamp/peace-camp-online-participant-code-of-conduct/) and discuss responsible & appropriate behavioral expectations with your student that may be applicable online. We will also monitor the students and set virtual interaction expectations so that all participants will have a safe and fun camp experience together!

Permissions *

I hereby consent to the photographing, recording, and/or reproduction of any other manner (including use of video and audiotapes) of the likeness, voice and/or activities of the participant and further authorize the Peace and Justice Center to make unlimited use of promotions, including but not limited to broadcasting of reproductions over the radio, television, and on the Internet (including social networks). I understand that I will not receive any monetary compensation now or in the future of participating. I do hereby release and hold harmless The Peace and Justice Center, its officers, and employees from any claims.

I give permission for my child(ren) to participate in Peace Camp using the Zoom video conferencing service. I understand that the live session may be recorded and may contain audio & video interactions that include my child.

Required

By submitting this document, I acknowledge that I have read it in its entirety, that I understand its contents, meaning, and effect, and that I have agreed to its terms completely and voluntarily. I also acknowledge by submitting this application that I accept the allocation of risks and responsibility as between Peace Camp and myself set forth in this agreement. The Peace and Justice Center is relying on my consent to the terms of this agreement in its operation generally and in allowing my child(ren), in particular, to attend.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms