UUCE Summer 2026 Camps

Camp Choices

My child(ren) will attend

Nature Fairy Camp (July 20-24) Recycle Creativity Camp (July 27-31) Storytelling Camp (Aug 3-7)

Household Information

Please provide the email address and phone number of the primary communicator of the household, with the understanding that this is the email address and phone number we will use to convey important information about the program.

Family Name

Parent/Guardian Email

This address will receive a confirmation email

Parent/Guardian Phone

Mailing Address

Child/Youth 1

Enter the information about the first child or youth you are registering here, there will be space for additional household members below. Contact information and special needs will be kept confidential to program staff.

Name

Date of Birth

What school do they attend or are they homeschooled, and what grade are they entering?

Does child or youth have a separate email or phone? (if so, please list)

Allergies/Dietary Restrictions/Special Needs/ How can we help your child engage in camp this year?

Child/Youth 2

Enter registration for the second child/youth in your household here. If you have additional young folks to register, please fill out the form again. Thank you.

Name

Date of Birth

What school do they attend or are they homeschooled, and what grade are they entering?

Does child or youth have a separate email or phone? (if so, please list)

Allergies/Dietary restrictions/Special Needs/How can we help your child engage in camp this year?

Parent/Guardian Information

Please list the name and contact information for two or more responsible adults, who can be contacted in case of an emergency involving your child or youth. If phone numbers, email addresses, or mailing addresses differ from those listed above for the household, please list.

Parent/Guardian 1

Parent/Guardian 2

Additional Parent/Guardian

Behavior Agreement

We are a camp community and will expect all campers and counselors to treat each other and church property with respect in words and deeds. We will work with the special needs of campers, but if a camper continues to be disruptive or unsafe their parent/guardian will be called to pick them up early.

I agree

Permissions

I give my permission for the following Photos of my children may be used in brochures/website/promotional material/church slideshow.

Emergency Medical Care

I give my permission for UUCE staff and volunteers to seek emergency medical care for my child(ren).

yes no

Parent/Guardian Signature

Date

Payment

This camp will be funded based on registration fees of $200 per child. A few scholarships may be available. Please contact Sam at sam.waddell@uueugene.org to inquire about scholarships and/or payment plans.

Payment

Thanks!

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Join us for three exciting camps this summer in partnership with Betwixt and Between Co. and the Unitarian Universalist Church in Eugene. Please contact sam.waddell@uueugene.org with questions. Our limit is 15 children for each camp. If you have completed a form once we reach our capacity you will be placed on our waiting list.

Camp will be $200 a week from 9:30am-3pm at the Unitarian Universalist Church.

UUCE Summer 2026 Camps

Description

Please Fix the Following