Permission and Acknowledgement Form 2026

Permission & Acknowledgement Form
Title*
Parent or Guardian Name*

First NameLast Name
Child(ren)'s First and Last Names*
Health Info
Do any of the above children have allergies or asthma that require a medical intervention such as albuterol, epipen?*

YesNo
If yes, please complete the following Asthma Action Plan and/or Allergy/Anaphylaxis Action Plan as necessary. Please note there are portions on this form which will need to be completed by your health practitioner.
If you answered yes to either of the above questions, then please be sure to contact Camp Lemaalah ASAP to set up a time to provide them with the medication. Important: All medication must be brought to Camp by the parent/ guardian in the original container with the pharmaceutical prescription attached.

If you are providing the camp with any medication; please sign the following Medicine Disposition Form.
Do any of the above children have a health condition that may warrant administering medication (other than allergy or anaphylaxis medication)?*

YesNo
If yes, complete the following Medication Administration Authorization Form. Please note, there are portions which are required to be completed by your physician.
Are you registering a preschool child?*

YesNo
Required Forms for Preschool
I understand that if I have a preschool child, I need to complete and submit these forms (many of which need to be completed and signed by a medical provider) upon acceptance to camp.*

Yes
Lead Testing
I have downloaded all 4 forms for completion if I have a preschool child.*

Yes
Sunscreen/Bug Spray

We encourage you to apply sunscreen on your children prior to their arrival in camp. However, we understand it may not always be feasible and they may need another application.
The camp has my permission to administer sunscreen (name of brand) blanks*or bug spray as they deem appropriate.
Hot Lunch
If Camp Lemaalah is able to provide free hot lunches once again, would you like your child to receive the lunches or will you be providing a home lunch?

Yes, I would like my child to receive hot lunch.No, I will send lunch from home.
CCS Vouchers
Are you approved for Childcare Scholarship Vouchers?

YesNo
If yes, please submit the following form embedded on this page. Do not forget to press submit on the bottom of it before continuing with this form.
Acknowledgement of Receipt of Camp Policies and Activities

I have read the parent handbook and understand the policies and activities of Camp Lemaalah and have been informed. I allow the above children to participate in camp activities on and off campgrounds, including swimming and all trips.
Signature*

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Permission & Acknowledgement Form

Health Info

Required Forms for Preschool

Sunscreen/Bug Spray

Hot Lunch

CCS Vouchers

Acknowledgement of Receipt of Camp Policies and Activities