2025 Summer Camp Registration Choose Your Camp Location Hope (1st-6th) – 19801/South Bridge (455 Townsend St, Mt Joy UMC) Victory (1st-6th) – 19801/East Side (800 N Walnut St, Ezion Mt Carmel UMC) Freedom (1st-6th) – 19802/North Side (1000 E 28th St, UPW Headquarters) Promise (1st-6th) – 19805/West Side (TBD) Harmony (7th-8th) – city zip codes (3301 N Market St, Resurrection Center) UPW Camps are intended for children who live in the immediate community surrounding each camp. Please select the camp that is located within the geographic area of your home address.Child's Name* First Last Age*Birthday* MM slash DD slash YYYY School*Grade Entering*Please enter a number from 1 to 8.Home Address* Street Address Address Line 2 City Zip Code*198011980219805Medical Considerations:*Allergies (food and/or medication):*Disabilities and/or IEP*Court/Legal Matters:*Gender*MaleFemaleRace*American Indian or Alaskan NativeWhiteBlack or African AmericanNative Hawaiian or other Pacific IslanderAsianNon DisclosedEthnicity*Hispanic or LatinoNot Hispanic or LatinoNon DisclosedProgram Season*Summer CampAfterschool ProgramBothContact InformationParent/Guardian* First Last Relationship*Parent's Email Cell Phone*Work PhoneEmergency Contact (other than parent):* First Last Relationship to Child(ren)*Home/Cell Phone*Additional Children(living at the same address who will be attending camp)Child's Name First Last AgeBirthday MM slash DD slash YYYY Grade EnteringPlease enter a number from 1 to 8.Medical Considerations:Allergies (food and/or medication):Disabilities and/or IEPCourt/Legal Matters:GenderMaleFemaleRaceAmerican Indian or Alaskan NativeWhiteBlack or African AmericanNative Hawaiian or other Pacific IslanderAsianNon DisclosedEthnicityHispanic or LatinoNot Hispanic or LatinoNon DisclosedAdditional Children(living at the same address who will be attending camp)Child's Name First Last AgeBirthday MM slash DD slash YYYY Grade EnteringPlease enter a number from 1 to 8.Medical Considerations:Allergies (food and/or medication):Disabilities and/or IEPCourt/Legal Matters:GenderMaleFemaleRaceAmerican Indian or Alaskan NativeWhiteBlack or African AmericanNative Hawaiian or other Pacific IslanderAsianNon DisclosedEthnicityHispanic or LatinoNot Hispanic or LatinoNon DisclosedTake HomesMy child(ren) will:*Walk home alone from campBe picked up by someonethey will be picked up by…First name, last nameI'm interested in more information about other UrbanPromise Programs (check all that apply) UrbanPromise School (elementary school) UrbanPromise Academy (high school) StreetLeaders (teen job training program) Sports UrbanTrekkers Please read, check that you agree* I have read the Information and Regulations sheet and agree to uphold and support the standards, rules, and guidelines as outlined by UrbanPromise. * My home address meets the eligibility requirements for my chosen camp location * I understand that all field trip fees must be paid by June 24 in order for my child to participate in the trips. * I understand that my child will need to wear an UrbanPromise T-shirt for all camp field trips. * I understand that my child will receive a t-shirt size based on what’s available. * I understand that my child will not be allowed to walk home from camp unless indicated above, and will only be able to be picked up by those listed above. Any changes must be communicated to the director. * I have enclosed a $10 deposit (pre child) to hold my space(s). (Cash or money order only; no personal checks) Δ