Camp LeMaalah Registration Form 2026

Camp Lemaalah Registration Form 2026
You may want to press save on the bottom of the form if you would like to continue later.

Please note: you will receive an email confirmation attesting your form was successfully completed. If you do not receive the confirmation, it means you have omitted required information and the form has not been submitted to camp for registration. Please review and ensure the submission goes through. You will also be redirected to a thank you page ensuring proper completion of the form.

For technical assistance, please email camplemaalah@gmail.com
Family Last Name*
Parents' Titles*
Marital Status*
Father's Name*

First NameLast Name
Father's Email*
example@example.com
Father's Cell Phone Number*

Area CodePhone Number
Father's Work Phone Number

Area CodePhone Number
Mother's Name*

First NameLast Name
Mother's Email*
example@example.com
Mother's Cell Phone Number*

Area CodePhone Number
Mother's Work Phone Number

Area CodePhone Number
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Number*

Area CodePhone Number
Form Notification Should be Sent to:*
example@example.com
List two people, other than parent/guardian, for us to contact in case of emergency (even if you are always available).
Emergency Contact 1 Name*

First NameLast Name
Emergency Contact 1 Phone Number*

Area CodePhone Number
Emergency Contact 1 Relationship to You*
Emergency Contact 2 Name*

First NameLast Name
Emergency Contact 2 Phone Number*

Area CodePhone Number
Emergency Contact 2 Relationship to You*
Pediatrician Name*

First NameLast Name
Pediatrician Phone*

Area CodePhone Number
Pediatrician Address*
AGREEMENT AND AUTHORIZATION Part 1

A $200 non-refundable, non-transferable & non-postdated registration fee per camper must accompany each registration form.

Registration forms will only be processed upon the receipt of the application fee.

Upon acceptance, the entire camp fee and forms must be submitted by the date on your invoice. Please see payment plan options on the Pay and Submit page. Any payment after this date will incur late fees. No refunds or reductions will be given for days missed (including for illness) or for early departure from camp whether at will or by the determination of the camp administration.

All parents/guardians must accurately complete the medical information for each registered camper before their child(ren) can join camp activities.

I have read the terms above, and agree to them.

*I hereby authorize Camp Lemaalah to administer First Aid, to be taken by camp personnel or emergency transport to a doctor or hospital for any treatment which Camp deems necessary.

* I hereby give my child permission to take part in all camp activities and to participate in all trips off campgrounds.

* I understand all children enrolled in camp need to be able to participate and interact age appropriately in a group setting.

* I give permission for my child's current school to release any psychlogical, social, emotional, or medical information to Camp Lemaalah.

* I give Camp Lemaalah permission to use any photographs or media in which my child appears.
Signature of Parent/Guardian*

Your application will only be processed and your children will only be registered once all necessary forms and fees are submitted.
Check (Made out to Camp Lemaalah, send to Camp Lemaalah, 6509 Wickfield Road, Baltimore, MD 21209)Zelle to CampLemaalah@gmail.com
Camp Lemaalah is also happy to help families with different payment options. See below for various options. If you would like to arrange special payment plans/options, feel free to contact us to discuss.
Pay your invoice in full using Zelle to camplemaalah@gmail.comPay with a check made out to Camp Lemaalah and submit it to 6509 Wickfield Road. You may opt to post date 2/3 of your camp fees. 1/3 payment due upon acceptance, 1/3 dated no later than March 1st, and 1/3 dated no later than May 1st.Pay your invoice in full using our ACH Electronic Payment System. This will require providing an account number and routing number to your bankPay your invoice in 3 equal installments using our ACH Electronic Payment System 1)upon receipt of your invoice 2) March 1st 3) April 1st (There will be a $3.00 processing fee for each payment.)
YesNo
Should be Empty:

Camp Lemaalah Registration Form 2026

Please note: If any special medical intervention, ie medicine, is needed during the camp day, a medical plan (see forms on website) must be completed.

Please note: If any special medical intervention, ie medicine, is needed during the camp day, a medical plan (see forms on website) must be completed.

Please note: If any special medical intervention, ie medicine, is needed during the camp day, a medical plan (see forms on website) must be completed.

Please note: If any special medical intervention, ie medicine, is needed during the camp day, a medical plan (see forms on website) must be completed.

Please note: If any special medical intervention, ie medicine, is needed during the camp day, a medical plan (see forms on website) must be completed.

Please note: If any special medical intervention, ie medicine, is needed during the camp day, a medical plan (see forms on website) must be completed.