Peace Camp 2022 registration

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For children who are entering 1st through 6th grades - all are welcome!

Sunday, June 19 - Thursday, June 23 --- 5-8 p.m. Dinner included!
480 Groffs Mill Rd. Harleysville, PA 19438
(215) 256-0778 peacecamp@salfordmc.org

Please register by Sunday, June 5.

Email *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email *

Parent/Guardian Cell Phone *

Child 1 First Name *

Child 1 Last Name *

Child 1 Grade (entering in fall 2022) *

Child 1 t-shirt size: *

Youth XS

Youth S

Youth M

Youth L

Youth XL

Adult S

Other:

Allergies, dietary restrictions, or other important information to know about your child? *

Other children? (please include name, grade entering, t-shirt size, and allergies/restrictions)

Emergency Contact Name (would be contacted after person listed above) *

Emergency Contact Phone Number *

I give permission for Salford Mennonite Church to post pictures of my child on the website and in SMC publications. (names are not attached to pictures) *

Yes

I agree to support my children in following CDC guidelines for covid safety, as needed. *

Yes

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

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