Camp BHC 2025!

Camp BHC!
August 18-22, 2025

Parent Information

Parent 1 First Name:

Parent 1 Last Name:

Parent 1 Phone Number

Parent 1 Email Address:

Parent 2 First Name:

Parent 2 Last Name:

Parent 2 Phone Number

Parent 2 Email Address:

Child Information

How Many Children are Attending?

Child 1 Information

Child 1 Name

Child 1 Birthday

Child 1 incoming grade

Child 1 T shirt size

Child 1 school

Please list any allergies for child 1

Does your child have an epi pen or other medication that will need to be dispensed during Camp BHC hours? if yes, please describe.

Please describe any medical concerns, issues, or diagnoses that we should be aware of to keep your child safe and thriving in our program.

Will your child need early or late stay? Please check all needed.

Monday Early Drop OffMonday Late StayTuesday Early Drop OffTuesday Late StayWednesday Early Drop OffWednesday Late StayThursday Early Drop OffThursday Late StayFriday Early Drop OffEarly drop off begins at 7:30 and late stay ends at 5:30. There is no late stay on Friday. Each addition is $10.

Child 2 Information

Child 2 Name

Child 2 Birthday

Child 2 incoming grade

Child 2 T shirt size

Child 2 school

Please list any allergies for child 2

Does your child have an epi pen or other medication that will need to be dispensed during Camp BHC hours? if yes, please describe.

Please describe any medical concerns, issues, or diagnoses that we should be aware of to keep your child safe and thriving in our program.

Will your child need early or late stay? Please check all needed.

Child 3 Information

Child 3 Name

Child 3 Birthday

Child 3 incoming grade

Child 3 T shirt size

Child 3 school

Please list any allergies for child 3

Does your child have an epi pen or other medication that will need to be dispensed during Camp BHC hours? if yes, please describe.

Please describe any medical concerns, issues, or diagnoses that we should be aware of to keep your child safe and thriving in our program.

Will your child need early or late stay? Please check all needed.

Photography Release: I/we hereby give consent for photographs, film, video or sound recordings to be taken of anyone in my family at Baltimore Hebrew Congregation or at a BHC sponsored activity during the 2024-2025 year. We further consent that such photographs/recordings may be used in BHC publications, promotional materials, news releases, film, video, websites or sound production as directed and approved by BHC.

YesNo

Are there any family arrangements which we should be aware? Or anything else you'd like us to know?

Emergency contact and relationship to camper(s)

Emergency contact phone number

Total:

Monday, August 18, 2025 • 24 Av 5785

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