AEDS 2026 Summer Camp Enrollment Form

Please complete this form to enroll your child in our summer camp program.

Camper's Name *

Gender *

Date of Birth *

Is your child potty trained? *

Yes

Not yet, but we are working on it and plan to be potty trained by camp!

Parent #1 Name *

Parent #1 Phone Number *

Parent #2 Name

Parent #2 Phone Number

Parent Email: Please supply the best email to receive all camp information *

Primary Medical Conditions or Allergies (if any)