• Camper Registration Form

    Fill out the form carefully for registration
  • Camper's Information

  • Parent/Guardian Information

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  • Below are select questions that will help our staff better understand your child and their needs. Please answer as honestly as possible.

  • Emergency Contact Information

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  • Medical Release Information

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  • *The purpose of the above listed information is to ensure that medical personnel have details of any problem, which may interfere with or alter treatment.

  • Companionship

    While Camp Ed endeavors to provide ypour camper with companionship, comeraderie and funm we cannot be responsible for one-on-one care on a consistent basis. To the extent that your camper requires consistent one-on-one supervision, you are required to provide such.

  • The Ed Asner Family Center and Camp Ed are not responsible for lost or damaged personal property. All Scheduled events are subject to change. I understand that no fees will be refunded or transferred unless a child is unable to participate due to an accident or illness per physician orders. Children's photos and quotes may be used for publicity purposes. 

    We at The Ed Asner Family Center have a legal, ethical and moral obligation to ensure the health, safety and welfare of both our campers and staff. We reserve the right to require a one-on-one aide or shadow to accompany your child at camp if we believe they need additional assistance with hygiene, safety, aggression, eloping and other behaviors. Failure to communicate your child’s behaviors/needs may jeopardize the safety of the applicant as well as others at camp. Individuals whose needs and/or behaviors are beyond the scope of the camp to safely accommodate will be sent home immediately. Acceptance will be determined based on overall camper care required and staff ability to meet individual needs in a safe and appropriate manner.

    Once you click submit, The Ed Asner Family Center will reach out to you to make an appointment to discuss any extra support your child may require.

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