Children's Autism Services of Edmonton
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Specialized Services
Summer Camp 2021
Early Childhood Services
EPIC: Enhancing Participation In Community
Learning Services
Respite & Community Aide
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Resources
COVID Guide for Re-Entry
What is Autism?
Weblinks
Videos
Tip Sheets
Emotions & Behaviours
Visual Resources
Social Skills
Self Help Skills
Ready For School
Language Development
Fine and Gross Motor Skills
Halloween
Contact Us
Donate Today
About Us
Our Team
Membership
Media Coverage
Facilities
Our Donors
Services
Specialized Services
Summer Camp 2021
Early Childhood Services
EPIC: Enhancing Participation In Community
Learning Services
Respite & Community Aide
Diagnostic Clinic
Childcare Program
Counselling Services
Events
Resources
COVID Guide for Re-Entry
What is Autism?
Weblinks
Videos
Tip Sheets
Emotions & Behaviours
Visual Resources
Social Skills
Self Help Skills
Ready For School
Language Development
Fine and Gross Motor Skills
Halloween
Contact Us
Summer Camp 2021
Register Online
Due to COVID-19 restrictions, all events will be hosted virtually until further notice
« All Events
Summer Camp 2021
June 5 @ 8:00 am
-
August 20 @ 5:00 pm
«
Learning Services – BUILDING ENGAGEMENT
Learning Services – Counting Sheep for Better Sleep
»
+ Google Calendar
+ iCal Export
Details
Start:
June 5 @ 8:00 am
End:
August 20 @ 5:00 pm
Register to attend Summer Camp 2021
Families will need to contact their FSCD worker prior to camp beginning to discuss the approval for additional respite or community aide hours to be added to their existing contract. FSCD will advise you of your parent portion for camp and we will require this confirmation amount as well as approved hours prior to the start of camp. All camp programs will be supported with a 1:1 staff to child ratio. Please click the boxes and fill out the information that applies to receive a call to process your summer 2021 camp registration.
Contact Information
Child Name
*
First Name
Middle Inital
Last Name
Parent Name
*
First
Last
Phone
*
Email
*
Enter Email
Confirm Email
Status
*
If your child has received services at Children’s Autism Services of Edmonton in the past year, no further information is required until further notice
If your child has not received any service from Children’s Autism Services of Edmonton or you are unsure if your child has received any services in the past year please fill out the information below
Child Information
Date of Birth
*
Date Format: MM slash DD slash YYYY
Gender
*
Female
Male
Other
Allergies or medical concerns?
*
Home Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Parent 1 Address (if different than the child's):
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Parent 2 Name
First
Last
Parent 2 Phone
Parent 2 Email
Parent 2 Address (if different than the child's):
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Emergency Contact and Alternative Pick Up Information
Emergency Contact 1
*
First
Last
Emergency Contact 1 Phone Number
*
Emergency Contact 1 Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Emergency Contact 2
*
First
Last
Emergency Contact 2 Phone Number
*
Emergency Contact 2 Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Alternative 1 Pick Up Name
First
Last
Alternative 1 Phone Number
Alternative 2 Pick Up Name
First
Last
Alternative 2 Phone Number
Additional Information
How does your child communicate?
*
Are there any safety concerns our staff should be aware of? (bolting, flopping, interactions with other children?)
What causes your child to become upset or dysregulated?
*
What can our staff to do help them calm?
*
What type of support does your staff need with self-help skills? (toileting, dressing, feeding, etc?)
*
What are your child’s likes/interests?
*
Is there anything else you would like staff to know about your child or additional supports your child may need?
*
Camps
Pick Location, times and days to register for the spots you would like **based on availability.
July 5 - 9
Location
Maier West
Teen
Kinsmen
Capilano Community League
Time
AM
PM
All Day (pick Days that apply)
Days
Monday
Tuesday
Wednesday
Thursday
Friday
July 12 - 16
Location
Maier West
Teen
Kinsmen
Capilano Community League
Time
AM
PM
All Day (pick Days that apply)
Days
Monday
Tuesday
Wednesday
Thursday
Friday
July 19 - 23
Location
Maier West
Teen
Kinsmen
Rundle Park
Time
AM
PM
All Day (pick Days that apply)
Days
Monday
Tuesday
Wednesday
Thursday
Friday
July 26 - 30
Location
Maier West
Teen
Kinsmen
Capilano Community League
Time
AM
PM
All Day (pick Days that apply)
Days
Monday
Tuesday
Wednesday
Thursday
Friday
August 2 - 6
Location
Maier West
Teen
Kinsmen
Capilano Community League
Time
AM
PM
All Day (pick Days that apply)
Days
Monday
Tuesday
Wednesday
Thursday
Friday
August 9 - 13
Location
Maier West
Teen
Kinsmen
Capilano Community League
Time
AM
PM
All Day (pick Days that apply)
Days
Monday
Tuesday
Wednesday
Thursday
Friday
August 16 - 20
Location
Maier West
Teen
Kinsmen
Rundle Park
Time
AM
PM
All Day (pick Days that apply)
Days
Monday
Tuesday
Wednesday
Thursday
Friday
Additional Comments
