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2026 Summer Camp Registration
1
Camper Info
2
Parent/Guardian Info
3
Authorized pick ups and emergency contacts
4
Medical information
5
Camp Selection
Camper's Name
(Required)
First
Last
Camper's date of birth
(Required)
Month
Day
Year
Current School
Grade Entering
Parent/Guardian Name
(Required)
First
Last
Parent/Guardian Email
(Required)
Parent/Guardian Phone
(Required)
Address
(Required)
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Additional parent/guardian name
First
Last
Additional parent/guardian phone
How did you hear about us?
We are a current Ashwood family
Parent referral
We have attended Ashwood camps previously
Web search
Other
Authorize pick up/Emergency Contact Names
Please list up to three other people (other than parent/guardian) who are authorized to pick up the camper and could be contacted in case of a medical emergency or emergency pickup if parent/guardian cannot be reached.
First
Last
Pickup/contact #1 phone
Authorized pick up/Emergency contact #2
First
Last
Pickup/contact #2 phone
Authorized pick up/Emergency contact #3
First
Last
Pickup/contact #3 phone
Emergency Medical Release
(Required)
In the event of any emergency, I authorize Ashwood Waldorf School to secure from any licensed hospital, physician and/or medical personnel any treatment deemed necessary for my child/ward’s immediate care and agree that I will be responsible for payment of any and all medical services rendered. I understand that this authorization includes transporting my child by ambulance if necessary to the nearest medical treatment facility if I am unable to be reached first.
I agree
My Child has Allergies
Bee / Insect Stings
Food(s)
Medications
List food or allergens
Please describe allergic reaction(s)
If child has a life-threatening allergy, clearly describe what type of exposure can set off a reaction, and recommended medical protocol. Ashwood protocol requires a 911 call if epinephrine has been administered.
Sunscreen Consent
I give permission for sunscreen to be administered and/or applied to my child as deemed necessary by the camp faculty.
I agree
Photo Release
I give permission for my child’s photograph or video to be taken for use by Ashwood Waldorf School in program brochures, annual report, website, social media sites and other promotional materials and for release to local newspapers.
I agree
Camp Selection
Ages 3-6 – Early Childhood Camps
Full-day camps, 9:00 a.m. to 3:00 p.m.
Sorry, there are no more of this item.
Ages 6-8 Camps
Full-day camps, 9:00 a.m. to 3:00 p.m.
Ready…Set…Summer! (Week of June 8)
Nature Art Camp – (Week of June 26)
Ages 9-11 Camps
Full-day camps, 9:00 a.m. to 3:00 p.m.
Ready…Set…Summer (Week of June 8)
Youth Circus Troupe: Session 1 (Week of July 20)
Ages 12-14 Camps
Teen Circus Troupe: Session 1 (Week of July 20)
Teen Circus Troupe: Session 2 (Week of July 27)
Payment Information
Registering for camp(s) includes a $50 non-refundable registration fee. Refunds (minus registration fee) will be issued for cancellations before May 15.
Fee
Total
Payment Method
(Required)
PayPal Checkout
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
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