2026 UUCA Peace Camp Registration

2026 UUCA Peace Camp Registration

SECTION 1: Camp Selection
How many children are you registering for camp?*
Which UUCA Peace Camp week(s) are you registering your camper(s) for?*

UUCA - Week One: June 29th - July 3rd (9am-3pm $350/week)UUCA - Week Two: July 6th - July 10th (9am-3pm $350/week)
Will your child(ren) need after-care services? (3-6pm for $135/week)

YesNo
Peace Camp will follow UUCA's health and safety policies in effect.
SECTION 2: Parent/Guardian Information #1
Parent-1: Are you a member of UUCA?

YesNo
Parent-1: Full Name*

First NameLast Name
Parent-1: Email*
example@example.com
Parent-1: Phone #*

Area CodePhone Number
Parent-1: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #2
Parent-2: Full Name

First NameLast Name
Parent-2: Email
example@example.com
Parent-2: Phone #

Area CodePhone Number
Parent-2: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

2026 UUCA Peace Camp Registration

Emergency Contact and Pick-Up Information
Emergency Contact
In the event that we are unable to reach you or any other listed parent/guardian, we will contact the person you designate below.
Emergency-Contact: Name

First NameLast Name
Emergency-Contact: Phone

Area CodePhone Number
Please list anyone (apart from yourself) that is authorized to pick your child/children up from camp each day.
Pick-Up Authorization #1

First NameLast Name
Pick-Up Authorization #2

First NameLast Name

Checkout

Waitlist$ Free

Week 1 June 29 - July 3rd

Waitlist 2$ Free

Week 2 July 6th - July 7th

After-Care $135.00

Session	Number of Campers
Session 1
Session 2

Scholarship Donation$25.00

Amount

Total $0.00