UPKids! Saturday Camp Registration Form

Hi UPKids Families!

Get ready for UPKids 2026: CAMP — a full day of adventure, creativity, games, hands-on activities, and unforgettable memories at Centerpoint Community Church!

UPKids will take place on Saturday, July 18, 2026, for children entering 1st through entering 6th Grade in the fall.
Registration opens at 8:45 AM
Pickup is at 3:00 PM

UPLittles is available for Preschool through Pre-K children.
Please note: Children must be potty trained to participate.

This year, UPKids participants will be placed into special “Pathways” based on their interests and personality, creating a unique camp-style experience designed just for them!
UpLittles do not have to select pathways.

🔥 Firestarters: Adventure + Action (best for 3rd-5th grade)
Soccer, Basketball, Water Games, Survivalism, and Science

🌲 Trailblazers: Action + Skills (best for K-2nd grade)

Soccer, Basketball, Water Games, Kitchen, and Survivalism

💧 River Runners: Skills, Creative, + Curious (best for 3rd-5th grade)

Kitchen, Survivalism, Water Games, Science, Printmaking

🎭 Storytellers: Creative (best for 3rd-5th grade)
Printmaking, Kitchen, Water Games, Art, Dance

⚡ Spark Scouts: Creative + Curious (best for K-2nd grade)

Science, Dance, Water Games, Printmaking, and Art

During registration, families will rank their child’s top pathway choices to help us create balanced groups and the best possible experience for everyone.

While we cannot guarantee all requests, we will do our best to honor friend requests and pathway preferences whenever possible.

If you have any questions, please contact mcgowan.rebekah@gmail.com with the Subject Line: UPKids 2026

We can’t wait for an amazing day at CAMP!

First Parent/Guardian Name:

Email:

This address will receive a confirmation email

Cell Phone

Home Phone

Address:

Second Parent/Guardian Name:

First Child's Name:

Birthdate:

Grade (2025-2026):

Select your child’s FIRST pathway choice. We will do our best to honor first-choice selections whenever possible while creating balanced groups and age ranges.

🔥 Firestarters — sports, science, adventure & survival skills 🌲 Trailblazers — adventure, sports, cooking & hands-on fun 💧 River Runners — cooking, crafts, science & creative learning 🎭 Storytellers — arts, creativity, music & performance ⚡ Spark Scouts — creative arts, science & hands-on exploration 🧸 UPLittles — Reserved for potty-trained Preschool–Pre-K children

Select your child’s SECOND pathway choice. Please choose a different pathway than your first choice. 🔥 Firestarters 🌲 Trailblazers — adventure, sports, cooking & hands-on fun 💧 River Runners — cooking, crafts, science & creative learning 🎭 Storytellers — arts, creativity, music & performance ⚡ Spark Scouts — creative arts, science & hands-on exploration

Select your child’s THIRD pathway choice. Please choose a different pathway than your first and second choices. 🔥 Firestarters — sports, science, adventure & survival skills 🌲 Trailblazers — adventure, sports, cooking & hands-on fun 💧 River Runners — cooking, crafts, science & creative learning 🎭 Storytellers — arts, creativity, music & performance ⚡ Spark Scouts — creative arts, science & hands-on exploration

Is there a friend or sibling your child would like to be grouped with? If Y, State name and grade of child.

Any allergies?

Please list anything in this box that will help us better understand your child while we have them in class. This information will be kept confidential and is only used to help us get to know your child better. (physical disabilities, developmental delays, fears, favorites, IEP, nickname, etc)

Second Child's Name

Birthdate

Grade (2025-2026)

Select your child’s FIRST pathway choice. We will do our best to honor first-choice selections whenever possible while creating balanced groups and age ranges. 🔥 Firestarters — sports, science, adventure & survival skills 🌲 Trailblazers — adventure, sports, cooking & hands-on fun 💧 River Runners — cooking, crafts, science & creative learning 🎭 Storytellers — arts, creativity, music & performance Option ⚡ Spark Scouts — creative arts, science & hands-on explorationOption 🧸 UPLittles — Reserved for potty-trained Preschool–Pre-K children

Select your child’s SECOND pathway choice. Please choose a different pathway than your first choice. 🔥 Firestarters — sports, science, adventure & survival skills 🌲 Trailblazers — adventure, sports, cooking & hands-on fun 💧 River Runners — cooking, crafts, science & creative learning 🎭 Storytellers — arts, creativity, music & performance ⚡ Spark Scouts — creative arts, science & hands-on exploration

Is there a friend or sibling your child would like to be grouped with? If Y, State name and grade of child.

Any Allergies?

Third Child's Name:

Birthdate:

Grade (2025-2026):

Select your child’s FIRST pathway choice. We will do our best to honor first-choice selections whenever possible while creating balanced groups and age ranges. 🔥 Firestarters — sports, science, adventure & survival skills 🌲 Trailblazers — adventure, sports, cooking & hands-on fun 💧 River Runners — cooking, crafts, science & creative learning 🎭 Storytellers — arts, creativity, music & performance ⚡ Spark Scouts — creative arts, science & hands-on exploration 🧸 UPLittles — Reserved for potty-trained Preschool–Pre-K children

Is there a friend or sibling your child would like to be grouped with? If Y, State name and grade of child.

Any Allergies?

Fourth Child's Name:

Birthdate:

Grade (2025-2026)

Select your child’s FIRST pathway choice. We will do our best to honor first-choice selections whenever possible while creating balanced groups and age ranges. 🔥 Firestarters — sports, science, adventure & survival skills 🌲 Trailblazers — adventure, sports, cooking & hands-on fun 💧 River Runners — cooking, crafts, science & creative learning 🎭 Storytellers — arts, creativity, music & performance ⚡ Spark Scouts — creative arts, science & hands-on exploration 🧸 UPLittles — Reserved for potty-trained Preschool–Pre-K childrenOption

Is there a friend or sibling your child would like to be grouped with? If Y, State name and grade of child.

Any Allergies?

Photo Release -I hereby consent to and authorize the use and reproduction by CCC Salem of any and all photographs that have been taken of me and/or my child(ren) for use on our web site, Facebook page, and/or directory. I acknowledge that I have read and understood the terms of this release.

Yes Yes, but please don't use my child(children)'s names No

UPKids is free for all participants. If you would like to support this event, donations are gratefully accepted.

See you at Camp!

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

UPKids! Saturday Camp Registration Form

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