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Required Forms

Every camper is required to have up-to-date versions of the following forms completed and submitted prior to their first day of camp. We believe that all kids can participate in LSNC's camp and drop-off programs (including theTykes Preschool Program and Parents' Night Out). We ask families to be honest on the Emergency and Release Forms about their camper’s physical, mental, and emotional well-being and anything else our staff should know to help campers succeed in our programs. LSNC’s Camp and Public Programs Director may contact you to discuss how we can adapt camp to provide a safe and successful environment for all of our campers.

You are welcome to complete forms by hand and scan in, or complete the fillable PDFs on your computer. All required forms must be renewed on or after June 1 of each year and are good for one year OR until new information is needed. Families with an emergency form on file from earlier in the year may be asked to review and initial a form to verify that it is up-to-date.

If you are completing your form on the computer, please download and use Adobe Acrobat Reader DC to fill in form fields or your information may not be captured. Be sure to close the document and re-open before sending to make sure your information was saved. Do not complete forms in your web browser. Detailed instructions are below.

Completed forms should be sent to: emergencyforms@lesliesnc.org.

Emergency & Release Form

This form is required for every camper. It includes family contact information, general health information, insurance information, food needs, permission to release campers to specific individuals, a blanket field trip permission statement, and a photo release.

Medication Authorization Form

This form is required for any camper who needs to take medication while at camp. This includes emergency medication (inhalers, EpiPens), prescription medication, and over-the-counter medication (such as Lactaid).

Allergy Action or Emergency Care Plan

We request that families submit an action plan or emergency care plan for allergies and medical conditions requiring emergency diagnosis and action by education staff (such as a food or bee sting allergy, diabetes, etc.). You may complete this Emergency Care Plan provided by Food Allergy Research & Education (FARE) or you may submit an action or emergency care plan created on your own or by a health care provider.

Neurodiversity Support Plan

LSNC welcomes neurodiversity in camps and programs and strives to make reasonable accommodations whenever possible. Please use this form to supplement information on the Emergency & Release form by telling us how our staff can support the learning and success of your camper. For example, if your camper uses anxiety-reducing techniques, a visual schedule, a reward system, extra processing time, planned breaks, or structured transitions, we would love to hear how you’ve implemented these ideas in the past.

How to Complete a Form on Your Computer

  • Download Adobe Acrobat Reader DC here, and install it on your computer. This should take two minutes.
  • Download the form you wish to complete. Do not complete it in your web browser or your information may not be saved.
  • Open it with Adobe Acrobat Reader DC.
  • Complete all of the fields in the form and choose File->Save As and save the completed form with the camper's full name and the phrase "emergency form" so it looks like "Emily Leslie Emergency Form.pdf."
  • Send the form as an email attachment to emergencyforms@lesliesnc.org with the subject "[Campers Name] Emergency Form.pdf"

Completed forms should be sent to: emergencyforms@lesliesnc.org.

If you do not have access to email, you may fax your camper’s forms to 734-997-1072, mail them to: LSNC, 1831 Traver Road, Ann Arbor, MI 48105, or drop them off during our regular office hoursPlease note: We cannot accept photographs of emergency forms.