Peacebuilders Atlanta Evening Camp 2021 Registration
Registration for Atlanta Evening Camp is open.  Please set aside 30-60 minutes for the registration process.

Details: July 5th - July 9th  | 14-16-year-olds | Tuition $300

Location: Berea Mennonite Church/Language Garden Preschool’s outdoor classroom  1088 Bouldercrest DR SE ATLANTA, GEORGIA 30316

Frequently Asked Questions: https://docs.google.com/document/d/1IsHTbn11r7r9pIy_iqmWW8URwp7sffW_qB_w_9cg3wA/edit?usp=sharing 

Contact us for more information: quayneshia@peacebuilderscamp.org
Sign in to Google to save your progress. Learn more
Email *
Camper's first name *
Camper's last name *
Name camper likes to be called *
Camper's email address
Camper's gender *
Camper's Date of Birth *
MM
/
DD
/
YYYY
Campers age during Camp
Clear selection
List all languages spoken fluently by camper *
Primary adult contact's first name *
Primary adult contact's last name *
Relationship to Camper *
Occupation/Employer *
Preferred primary method of contact *
Primary number or email address *
Secondary method of contact *
Secondary number or email address *
Third number or email address
Street Address *
Apartment or Unit #
City *
State *
Zip code *
How did you hear about Peacebuilders Day Camp? *
Required
Are you receiving assistance with this registration process? *
Required
If yes above, please provide the name of the individual providing assistance, any affiliated group or organization, and phone/email address for the person providing assistance.
Do you want to continue the registration process now or save for later? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms