Lake Oswego Peace Village Camp

June 26-30, 2017

New Thought Center for Spiritual Living

To register for camp, please fill out the form below, then mail payment of $125.00 per child to

New Thought Center for Spiritual Living

1040 C Ave

Lake Oswego, OR 97034

or call the office at 503.296.9922 

Child's Name *
Child's Name
Date of Birth *
Date of Birth
Parent/Guardian Name
Parent/Guardian Name
Phone *
Phone
Parent Guardian Name
Parent Guardian Name
Phone
Phone
Emergency Contact *
Emergency Contact
Phone *
Phone
Emergency Contact
Emergency Contact
Phone
Phone