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If your child/children will be accompanying you on the day, please fill out the below:

Child 1

Your Child's Name (Child 1) *

Your Child's Age (Child 1) *

Does your child have any allergies, medical conditions, or specific needs we should be aware of to ensure their safety and comfort during the camp? *

Child 2

Your Child's Name (Child 2)

Your Child's Age (Child 2)

Does your child have any allergies, medical conditions, or specific needs we should be aware of to ensure their safety and comfort during the camp?

Child 3

Your Child's Name (Child 3)

Your Child's Age (Child 3)

Does your child have any allergies, medical conditions, or specific needs we should be aware of to ensure their safety and comfort during the camp?

Peaceful Parents Program