Clone of Camp On-The-Go 2025 Application Form

Camp On-The-Go Registration Form 2026

As of now, all Junior Counselor positions are FULL
Camper Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Home Phone Number
Format: (000) 000-0000.
Father's Cell Phone Number*
Format: (000) 000-0000.
Mother's Cell Phone Number*
Format: (000) 000-0000.
Email for confirmation and information*
Optional Secondary Email
Birth Date*

MonthDayYear
Age During Camp*
Current Grade*
Current School*
Current Rebbe*
Rebbe Phone
Emergency Contact (Not a Parent)*

First NameLast Name
Emergency Contact Relationship*
Emergency Contact Phone Number*
Format: (000) 000-0000.
Pediatrician Name*
Pediatrician Number*
Please enter a valid phone number.Format: (000) 000-0000.
List Any Allergies
Provide any information on medical conditions, psychological conditions, behavioral conditions, medications, dietary restrictions, or special needs that we need to be aware of to ensure that your son's camp experience is positive.
I understand that there will be no refunds or reductions for days missed or for early departure from camp. I hereby authorize Camp to administer First Aid or to take my son to a doctor or hospital for any treatment which Camp deems necessary if a parent can not be reached. I accept responsibility for any medical charges which may be incurred on my son's behalf. I give my child permission to take part in all Camp activities and trips. I agree to be financially responsible for any damages or expenses caused by my son. I give Camp permission to use any photographs or media in which my son appears. It is understood and agreed that if the camper's conduct or influence is not up to the camp's standards, the camper will be dismissed at the discretion of Camp with no refund or reduction in fee. By checking this box, I hereby indicate that I have read, understood, and agree to all of these terms.
Youth Medium (17W x 22L)Youth Large (18W x 24L)Adult Small (18W x 28L)Adult Medium (20W x 29L)Adult Large (22W x 30L)
First Session: June 24 - July 17 $1550Second Session: July 20 - August 14 $1650Special Post-Camp Week: August 18 - 22 $395Weekly Option (If not registering for a whole session) per week/$430
Week 1: June 24 - June 26Week 2: June 29 - July 3Week 3: July 6 - July 10Week 4: July 13 - July 17Week 5: July 20 - July 24Week 6: July 27 - July 31Week 7: August 3 - August 7Week 8: August 10 - August 14
I will send the deposit via zelle to the camp number 410-218-2337 (Preferred method)I will pay the deposit now via credit card

Credit Card Payment - Please check the appropriate boxes

First Session Deposit: June 24 - July 17

$200

Second Session Deposit: July 20 - August 14

$200

Post-Camp Week Deposit August 17 - August 21

$50

Weekly Option Deposit

Do NOT check this box if registering for a FULL SESSION or for the extra Week

$50 How many weeks
Item subtotal:$0.00

Extra Camp T-Shirt

$15 How many extra shirts

Donate and help another child have a great summer too

Any amount is greatly appreciated and will go directly towards a scholarship for a child.

$ Free Donation Amount

Total

$0.00

Credit Card

* Deposit is applied towards camp fee

* Full camp fee will be due by June 1

* Camp fee includes supplies, trips and everything else
Any additional questions or comments, please let us know
Should be Empty:

Camp On-The-Go Registration Form 2026

Credit Card