Registration | Camp RLB

Registration is now open for the Summer 2026 season!

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Family

Your family information

Family last name*

Home phone*

Marital status

Address

Your home address

Address*

City*

State*

Zip*

Father's Information

Contact details for father/guardian

Father's Title

Father's first name*

Father's phone number*

Father's email address

Mother's Information

Contact details for mother/guardian

Mother's Title

Mother's first name*

Mother's phone number*

Mother's email address*

Emergency Contact 1

Someone we can reach in case of emergency

Emergency contact name*

Emergency contact Phone*

Emergency contact Relationship*

Emergency Contact 2

Someone we can reach in case of emergency

Emergency contact name*

Emergency contact Phone*

Emergency contact Relationship*

Campers

Fill out each camper's information below

Family Documents

Upload the completed documents below

RLB Welcome Letter 26

Welcome to RLB Please take a moment to read our cover letter. Looking forward to a fabulous summer together BezH.

RLB Tzniyus Guidelines

Dear Parents, We share a common goal of providing your child with a wholesome camp experience in the Ruach of true Bnos Yisroel. Adhering to the camp dress code will ensure a proper atmosphere of Tznius and dignity. Please read the following carefully. Thank you for your cooperation.

BMG KAP Card

B'chasdei Hashem, out of our great respect for The Adeirei Torah, we are pleased to offer a 10% discount for current full-time students of BMG. To receive this discount please upload an image of your valid current KAP card. Upon approval the discount will be applied to your account.

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Immunization Record

Please upload your child's current immunization record.

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Payment Information

Review your charges and make a payment

• Deposits will be charged with your application.

• The remainder balance will be charged via automatic payments on on 03/10 and 05/10.

• All balances are due by 6/10/2025.

Total	$0.00
Balance	$0.00

Payment method*

A deposit will be due today

Complete camper details above to calculate the exact amount.

Disclosures & Consent

Please review and agree to the following

Legal Disclaimer: This certifies that I release the directors of the camp and any staff members from any claims of liability that may arise. I am aware that my daughter(s) will be going swimming in a supervised pool and will be traveling on trips and excursions as part of the camping program. I agree not to take any legal action against the camp. I have read and understood the cover letter. Tzniyus Agreement: I have read and agree to adhere to the RLB Tzniyus guidelines Medication: I give permission for camp to administer Tylenol, Motrin or Benadryl as needed. BMG KAP Card: This is to Confirm that the camper's father is a full-time student at BMG with a valid Kap card. I have enclosed a copy of the families current 2026 KAP card.

I agree to receive text messages from Camp RLB about important updates, reminders, schedule changes, billing/account notices, and occasional announcements or marketing promotions. Mobile opt-in data will not be shared with third parties for promotional and marketing purposes. Message frequency may vary. Msg & Data rates may apply. Reply STOP to unsubscribe. Text HELP for help. Consent is not a condition of enrollment. View our Privacy Policy and Terms & Conditions.

I am the parent/guardian and consent to providing my children's information. I agree to the Terms of Service and Privacy Policy.

We collect camper health, contact, and program data. You may request access or deletion via the camp office.

Signature

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Parent signature

Print name*

Date of signature