Summer Camp 2026 · Registration

Welcome to AUA Summer Camp!

We're so glad you're here. This form helps us get to know your camper and prepare for a safe, joyful week. Please complete one form per child. Questions while registering? Call 678-424-1022 or email info@theauacademy.com.

Camp week selection

Choose one, several, or all four weeks.

Which week(s) are you registering for? *

Week 1 · Sports & Movement

June 8 – 12

$375

Week 2 · Cooking & Café

June 15 – 19

$375

Week 3 · Music & Rhythm

June 22 – 26

$375

Week 4 · Art & Creativity

June 29 – July 3

$375

0 weeks selected

Sibling also registering?

How did you hear about us?

Camper information

Camper's first name *

Camper's last name *

Name camper prefers to be called Nickname / preferred name — staff will use this.

Date of birth *

Age at start of camp *

Grade (completed this school year) *

Gender

Home address *

City *

State *

ZIP *

Primary language at home

School the camper attends

Camper photo (optional) Helps staff with name-face recognition on Day 1. Stored privately, never shared publicly.

Parent / Guardian information

Primary parent / guardian

Full name *

Relationship to camper *

Cell phone *

Alternate phone

Email *

Preferred contact method

Best times to reach during camp day

Second parent / guardian (optional)

Full name

Relationship to camper

Cell phone

Emergency contacts & pickup

At least two emergency contacts other than the parents/guardians above.

Emergency contact #1

Full name *

Relationship to camper *

Phone *

Authorized to pick up camper? *

Emergency contact #2

Full name *

Relationship to camper *

Phone *

Authorized to pick up camper? *

List everyone authorized to pick up the camper *Name + relationship for each. ID required at pickup for anyone staff doesn't recognize.

Anyone specifically NOT permitted to pick up or contact the camper? *

If yes, please provide details Handled confidentially.

Diagnosis & support profile

An ILP or formal diagnosis is NOT required to attend camp. This simply helps us support your camper well.

Primary diagnosis (if any)

Additional diagnoses / co-occurring conditions

Does the camper have an ILP or 504 plan?

Overall level of support the camper typically needs

Does the camper work with a BCBA, therapist, or specialist?

Does the camper have a current Behavior Intervention Plan (BIP)?

Upload ILP / 504 / evaluation / BIP (optional) PDF, JPG, or PNG. Stored confidentially.

Medical information

Diagnosed medical conditions *Asthma, epilepsy/seizures, diabetes, heart, etc. Enter 'None' if none.

History of seizures? *

If yes: seizure type, triggers, presentation, what staff should do

Allergies — food *List all + severity. Enter 'None' if none. Camp is nut-free regardless.

Allergies — environmental / other

Does the camper carry an EpiPen?

Dietary restrictions or needs

Upload any relevant medical action plans (optional) Seizure plan, allergy/anaphylaxis plan, asthma plan, etc.

Communication profile

Helps us connect with your camper from minute one.

How does the camper primarily communicate? *

Expressive — how the camper expresses wants/needs *

Receptive — how best to give the camper directions *e.g., one step at a time, with visuals, extra processing time

Does the camper use an AAC device or system? *

How does the camper indicate they need the bathroom? *

How does the camper indicate pain or feeling unwell? *

How does the camper indicate stress, fear, or overwhelm? *

Communication approaches that do NOT work well

Sensory profile

Sound sensitivities

Light / visual sensitivities

Touch / tactile sensitivities

Taste / food texture sensitivities

Smell sensitivities

Movement / vestibular needs

Sensory-seeking behaviors What the camper seeks (deep pressure, movement, chewing, etc.)

Sensory tools the camper uses Headphones, weighted item, fidgets, chewable, sunglasses, compression, etc.

Will the camper bring personal sensory items? If yes, please label everything with the camper's name.

What does the camper do when sensory overload begins? *

Strategies that help the camper regulate *

Behavioral & safety profile

There are no 'wrong' answers here. Honest information helps us keep your camper and everyone safe.

Known triggers *Transitions, waiting, noise, demands, changes, etc.

Early warning signs the camper is becoming upset *

De-escalation strategies that WORK *

What staff should NOT do *e.g., don't touch, don't crowd, don't use countdowns

History of aggression toward others? *

If yes, please describe (triggers, frequency, what helps)

Self-injurious behavior? *

If yes, please describe

Elopement: does the camper run/wander from supervised areas? *

If Sometimes/Often: triggers, where they go, what stops them

Upload behavior plan / one-page profile (optional)

Daily living, social & preferences

Toileting *

If assistance needed, describe what staff should do

How does the camper typically interact with peers?

How does the camper do in group settings?

Camper's strong interests / favorite things *Gold for staff — builds rapport and motivation fast.

What motivates / reinforces the camper? Praise, specific items, activities, breaks, etc.

Comfort items the camper may bring Please label with the camper's name.

Activities or things to AVOID *Specific fears, dislikes, do-not-offers.

Anything else you want staff to know about your camper?

Authorizations & consents

Photo / media release *

I grant permission for internal use AND marketing (website, social, brochures).Internal use only (staff communication and parent updates).No photos of my child.

I authorize AUA Summer Camp staff to seek emergency medical care for my camper if needed. *I authorize staff to administer over-the-counter or prescribed medications as documented. *I have read and agree to the AUA Summer Camp liability waiver & release. *

Policy acknowledgments

Please review and acknowledge each policy below.

Illness policy *I understand when to keep my camper home, the fever- and symptom-free window before returning, and the process if my camper becomes ill at camp.Behavior & continued-enrollment policy *I understand AUA's supportive behavior approach and the rare circumstances where 1:1 support or, in extreme cases, dismissal may be needed for safety.Payment, deposit & refund / cancellation policy *I understand the deposit, refund window, and cancellation terms for camp.Late pickup policy *I understand the camp's pickup window, grace period, and any late-pickup fee.Drop-off & pickup procedure / ID requirement *Only authorized adults will be released to. Photo ID is required for any adult staff doesn't recognize.Personal items / electronics policy *I will label all personal items. AUA is not responsible for lost or damaged personal items.Information accuracy attestation *All information provided is accurate. I will notify AUA of any changes before or during camp.

Signature

Parent / guardian full legal name *

Relationship to camper *

Electronic signature (type your full name) *By signing, I confirm I have read and agree to all authorizations and policies above.

Date *

Total: $0

Select at least one week above.

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