2026 Summer Camp Registration

Choose Your Camp Location*

Freedom (1st-6th) – 19802 (1000 E 28th St – UrbanPromise Wilm Headquarters)
Victory (1st-6th) – 19801/East Side (800 N Walnut St – Ezion Mt Carmel)
Hope (1st-6th) – 19801/South Bridge (455 Townsend St, Mt Joy UMC)
Promise (1st-6th) – 19805 (TBD)
Harmony (6th-8th) – all 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*

School*

Grade Entering*

Please enter a number from 1 to 8.

Home Address*

Street Address Address Line 2 City

Zip Code*

Medical Considerations:*

Allergies (food and/or medication):*

Disabilities and/or IEP*

Court/Legal Matters:*

Gender*

Race*

Ethnicity*

Contact Information

Parent/Guardian*

First Last

Relationship*

Parent's Email

Cell Phone*

Work Phone

Emergency Contact (other than parent):*

First Last

Relationship to Child(ren)*

Home/Cell Phone*

I'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)
UrbanTrekkers

Additional Children

(living at the same address who will be attending camp)

Child's Name

First Last

Age

Birthday

School

Grade Entering

Please enter a number from 1 to 8.

Medical Considerations:

Allergies (food and/or medication):

Disabilities and/or IEP

Court/Legal Matters:

Gender

Race

Ethnicity

Additional Children

(living at the same address who will be attending camp)

Child's Name

First Last

Age

Birthday

School

Grade Entering

Please enter a number from 1 to 8.

Medical Considerations:

Allergies (food and/or medication):

Disabilities and/or IEP

Court/Legal Matters:

Gender

Race

Ethnicity

Take Homes

My child(ren) will:*

they will be picked up by…

First name, last name

Please read, check that you agree

I understand that my child will receive a t-shirt size based on availability.*

agree

I understand my child will only be released to approved individuals unless otherwise authorized, and that any changes myst be communicated to the director.*

agree

I understand there are risks involved and will not hold UrbanPromise Inc or its partners responsible for injuries*

agree

I understand the program includes Christian education.*

agree

I understand that UrbanPromise is only responsible for my child during scheduled hours, and I give permission for my child to participate in program activities.*

agree

I understand that all field trip fees must be paid by June 12 in order for my child to participate in the trips.*

agree

I have included a $10 deposit (per child) to hold my space(s). (Cash or money order only; no personal checks).*

agree

I have read the Information and Regulations sheet and agree to uphold and support the standards, rules and guidelines as outlined by UrbanPromise Wilmington.*

agree

My home address meets the eligibility requirements.*

agree

I authorize staff to obtain emergency medical care for my child if I cannot be reached.*

agree

I give permission for my child’s photograph to be used in program publications.*

agree
disagree