2022 St.Camillus Peace Camp Registration Form

Peace Camp at St. Camillus/ SFIS

2022 Registration

August 1-August 5, 9am-3pm, Monday-Friday
Parent / Guardian Information
Parent/Guardian 1

First Name Last Name
Parent/Guardian 2

First Name Last Name
Best E-mail
Best Phone

Area Code Phone Number
Emergency Contact Information / Pick-Up Authorization
Emergency Contact

First Name Last Name
Cell/Day Phone

Area Code Phone Number
The following people are authorized to pick-up my child(ren) from Peace Camp:
After Camp Pick-Up

First Name Last Name
After Camp Pick-Up

First Name Last Name
After Camp Pick-Up

First Name Last Name
My child is authorized to walk home from camp

Camper Information
Full Name

First Name Last Name
Date of Birth

Month Day Year
Is your child a returning camper?

Yes No
Name of School and Grade
Does your child have any medical conditions, allergies, or dietary needs that we should be aware of?
Please list any medication that your child is currently taking that we should be aware of.
Please check if your child has an epipen. Please make sure to leave your child's labeled epipen at the front desk of camp.
Please share with us any other information you feel we should know about your child that can help us improve their Peace Camp experience.
Please select an option below and then click next.

Register Another Camper Finish Registration

I give permission for LFFP to take photos and video of my child to be used for publicity purposes.
Camper Information
Full Name

First Name Last Name
Date of Birth

Month Day Year
Is your child a returning camper?

Yes No
Name of School and Grade
Does your child have any medical conditions, allergies, or dietary needs that we should be aware of?
Please list any medication that your child is currently taking that we should be aware of.
Please check if your child has an epipen. Please make sure to leave your child's labeled epipen at the front desk of camp.
Please share with us any other information you feel we should know about your child that can help us improve their Peace Camp experience.
I give permission for LFFP to take photos and video of my child to be used for publicity purposes.
Please select an option below and then click next.

Register Another Camper Finish Registration

Camper Information
Full Name

First Name Last Name
Date of Birth

Month Day Year
Is your child a returning camper?

Yes No
Name of School and Grade
Does your child have any medical conditions, allergies, or dietary needs that we should be aware of?
Please list any medication that your child is currently taking that we should be aware of.
Please check if your child has an epipen. Please make sure to leave your child's labeled epipen at the front desk of camp.
Please share with us any other information you feel we should know about your child that can help us improve their Peace Camp experience.
I give permission for LFFP to take photos and video of my child to be used for publicity purposes.
Please select an option below and then click next.

Register Another Camper Finish Registration

Camper Information
Full Name

First Name Last Name
Date of Birth

Month Day Year
Is your child a returning camper?

Yes No
Name of School and Grade
Does your child have any medical conditions, allergies, or dietary needs that we should be aware of?
Please list any medication that your child is currently taking that we should be aware of.
Please check if your child has an epipen. Please make sure to leave your child's labeled epipen at the front desk of camp.
Please share with us any other information you feel we should know about your child that can help us improve their Peace Camp experience.
I give permission for LFFP to take photos and video of my child to be used for publicity purposes.

Note: This camp is subsidized by St. Camillus Catholic Church

To pay with credit card, please see the payment options below.

To pay by check, please skip this section and submit your form. To complete registration, send a check made out to Little Friends for Peace to:

Little Friends for Peace

15400 Old Marshall Hall Road

Accokeek, MD 20607
If paying by credit card, please select the number of campers you are registering for each week.

Please contact us at peacecamp@lffp.org if you would like to apply for a FULL scholarship.

Thank you!

My Products

St. Camillus Peace Camp-Full Price $ 250.00

This registration fee is for non-parish members.

Number of Campers

Peace Camp fee for Parish and SFIS community $ 75.00

Number of Campers

St. Camillus Partial-Scholarship $ 25.00

Number of Campers

Subtotal $ 0.00 Shipping $ 0.00 Total $ 0.00