Application

Camp costs $25 for the week and scholarships are available as well. There are also options to supply food and drinks for snack, or volunteer in some other way instead.

NOTE: You must turn in both the Medical Form and the Medical Consent Form by the first day of camp in order to participate.

Full Name of Child:

Nickname or Preferred Name:

Date of Birth:

Email:

Home Address:

Lives with:

Mother's Name:

Mother's Phone Number(s):

Father's Name:

Father's Phone Number(s):

Guardian's Name:

Guardian's Phone Number(s):

Emergency Contact's Name:

Emergency Contact's Phone Number(s):

Emergency Contact's Relationship to Child:

Date of Birth:

Ethnic Background (optional):

Religious Background:

Have you been a camper at Peacemakers' Day Camp before?:
yes no
Will you need a ride to camp?:
yes no
I will allow any pictures taken of my child at camp to be used in Peacemakers' Day Camp publications:
yes no
Electronic Signature of Parent/Guardian (Intials):

Peacemakers' Day Camp

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The Friends Meeting House Milwaukee, Wisconsin

Application