Peace Camp Registration

Participant First Name *

Participant Last Name *

Participant Date of Birth (please be mindful of correct year!) *

Parent/Guardian's First Name *

Parent/Guardian's Last Name *

Parent/Guardian's Phone *

Parent/Guardian's Email *

Email

Confirm Email

I would like to register for *

We... *

Is there anything we should know about this participant? *

Do they have any food, medicine, insect, or environmental allergies or restrictions? Is there any information that would help us better advocate for you child in case of a an emergency.

If there are allergies, is an epi-pen required?

yes
no

Any thing else that teachers and staff should know that will help keep you child safe and engaged?

Full Name of Signer *

Date of Signing

First UU Church of Columbus

First Unitarian Universalist Church

Services: in-person & streaming
Sundays at 10am

First UU Church of Columbus

First Unitarian Universalist Church

Services: in-person & streamingSundays at 10am

Peace Camp Registration

Services: in-person & streaming
Sundays at 10am