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Mosaic San Jose Peace Camp
Summer Camp for First Unitarian Church of San Jose 160 N 3rd St June 12-June 16
Snacks are provided but students need to bring their own lunch.
Three field trips to the Children’s Discovery Museum, Guadalupe River Conservancy and a Pool Party!
There will also be a Potluck Family Barn Dance at the church on June 15, 6-8 pm.
(MAKE CHECKS OUT TO¬¬¬¬¬¬¬¬¬¬¬¬ FUCSJ -on memo line put Peace Camp)
Or pay online
Geoff Rimositis, 160 N. 3rd St., San Jose, CA. 95112
Phone: 408- 292-3858,x 225 e-mail: Grimositis@Gmail.com
Child's First and Last Name
Child's Gender Identity
Has child been to Peace Camp at First Unitarian San Jose before?
Child's Congregation (if any)
Parent/ Guardian 1 First and Last Name
Parent/ Guardian 1 Contact Phone Number (s)
Parent/ Guardian 1 Email
Parent/ Guardian 2 First and Last Name
Parent/ Guardian 2 Contact Phone Number (s)
Parent/ Guardian 2 Email
Fee Payment Options: $200 Registration Fee (1st-5th Grades)$100 Counselors in Training (6th-12th Grades)After Care (3-5:30pm) $8/ hour/ per day
Scholarship assistance needed?
Please describe below anything else you would like us to know that would help make your youth’s camp activity a good experience. (allergies, special needs, etc)
I would like to contribute to the scholarship fund in the amount of:
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