Name * First Name Last Name Phone (###) ### #### Date of arrival * MM DD YYYY Date of departure * MM DD YYYY How many adults are coming in your group? * 0 1 2 3 4 5 6 7 How many children are coming in your group? * 0 1 2 3 4 5 6 7 What are the ages of the childre? If none please write N/A Please tell us about you and the ministry where you serve. * How did you hear about the Peace Place? * Email * Do you have any other questions or comments? Thank you! We will contact you shortly.
