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Kamp Lenape Camper Application

Dear Parent/Guardian,

Thank you for your interest in KSI Kamp Lenape! We are so excited that you are interested in sending your child(ren) to KSI Kamp Lenape.

This summer we will be having two separate Kamp sessions so that we can serve additional Campers. Each Kamp session will be limited to 25 Campers on a first-come, first-served basis. 

Session 1: June 23, 2025-July 18, 2025

Session 2: July 21, 2025-August 15, 2025

This is what we will need from you before we can process your Camper’s enrollment. Please upload these documents with the online application, or email them to KampLenape@ksiinc.org  

  • Completed Application
  • IEP and/or BIP (upload with application)
  • Health Packet (this includes most recent physical and immunization record, and information about any prescriptions your child is currently taking) (upload with application)
  • Any information about who will be paying for Kamp

Note: If any of the above documentation is missing or incomplete, the application will be put on hold and a spot will not be held!

Please reach out to Michelle Cain at KampLenape@ksiinc.org or 302-422-4014 x 3009 with any questions.

Which Camp Session do you prefer?
*Camper Gender
Camper Race
How do you plan to pay for Kamp?
*Camper Disability (check all that apply)
*Mobility
*Transfers
*Assistive Devices
*Communication
*Eating
*Diet
*Bowel Control
*Bladder Control
*Dressing
*Camper T-Shirt Size
*Does your child have a State Case Worker
Does the Camper have any behavior or sensory challenges?
Does the Camper have trantrums that will intensify into aggressive and destructive behavior?
*Does the Camper have a Behavior Intervention Plan (BIP)?
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*Does the Camper have an IEP at school?
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*Is your Camper able to participate in the swimming program?
*Can the Camper Swim?
*Approval, Waiver, and Activity Consent: This application has my approval. While KSI’s Kamp Lenape will take every precaution, it is agreed that KSI is not legally responsible for any accidents, incidents, or injuries that may occur during camp session, assumes no responsibility for applicant’s personal property, and is released from liability for any accident, incident, or injury, except that may be covered by Camper’s insurance. Applicant has my permission to engage in all camp activities, except noted by myself or physician.
*Medical Treatment: The undersigned hereby authorizes and grants permission to any licensed/certified medical professional designated by KSI’s Kamp Lenape to provide routine medical care and administer medications, or to perform any emergency procedures on the camper that would be jeopardized by any delay in providing such treatment or performing such procedures.
*I, the undersigned hereby authorize KSI’s Kamp Lenape, its employees, agents, and assigns to release any pictures or photography taken of the above-named Camper for publication purposes of conveying information concerning the named individual and/or KSI Kamp Lenape. The undersigned hereby agrees to also hold KSI Kamp Lenape harmless of liability should such pictures or photographs either accompanied or unaccompanied by printed material, appear in publications by whomsoever published, circulated, or distributed. I understand that these materials may be published on KSI’s Kamp Lenape’s network, websites, and social media.
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