Peace Camp 2021 Application
March 15-19, 2021
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First & Last Name *
What are your preferred pronouns? *
Email *
Age *
What school do you currently attend? *
What grade are you in? *
Do you have any allergies? *
What is your T-shirt size (youth sizing)? *
We are accepting designs for our Peace Camp T-Shirt! If you would like to enter any artwork, please send your submission to
Parent or Guardian contact (name, relationship to student) *
Parent or Guardian phone number *
How did you hear about Peace Camp? *
What does 'Peace' mean to you? Please share your thoughts with us in 200-400 words (a paragraph-half page). There are no wrong answers, enjoy! *
I understand that this camp will be in person and I will be asked to take precautionary measures due to the Covid-19 Pandemic, such as washing hands, wearing a mask, social distancing and using hand sanitizer. I will not attend any day of camp if I feel sick or have been in contact with anyone who knowingly has tested positive for Covid-19. I understand that by attending Peace Camp I will be at an increased risk of exposure to Covid-19 and do not hold West Hawaii Mediation or Yoga Impact responsible should I get sick. *
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