Lamorinda Jewish Camp – Summer 2026 Give your child a summer filled with joy, friendship, creativity, and Jewish discovery at Lamorinda Jewish Summer Camp in Lafayette, CA! Designed especially for children ages 2–4, our warm and nurturing summer program combines hands-on fun with meaningful Jewish experiences in a playful preschool environment. Children enjoy: Jewish songs & movement Shabbat celebrations Water play & outdoor fun Arts, crafts & sensory activities Hebrew & Jewish traditions Mitzvot, kindness & friendship building Our experienced and caring staff create a safe, loving atmosphere where little campers grow socially, emotionally, and spiritually while making lifelong memories. Camp Details 📍 Lafayette, California 📅 June 29 – August 14, 2025 🕣 Camp Hours: 8:30 AM – 5:00 PM 👧 Ages 2–4 🗓 7-Week Summer Program Tuition Full Summer Program: $3,200 Weekly Options Available at $500 per week Early registration recommended. Spaces are limited! Register Today 👉 https://www.chabadoflamorinda.com/camp Where did you hear about us? 1. Child/ren’s Information Number of children being registered Child 1 Full Name First Name Last Name Birth Date Month Day Year Gender Grade entering When will you child be attending? $500 per week or $3200 for the whole summer Week 1Week 2Week 3Week 4Week 5Week 6Week 7Full Summer Medical Information Child 1: Pediatrician First Name Last Name Phone Number Area Code Phone Number Insurance My child is permitted to be given Children's Tylenol, Motrin or similar should the need arise YesNo Is your child allergic to any medications? If yes, please explain Is your child allergic to any foods? If yes, please explain Is your child up to date on all immunizations? YesNo Does your child have a medical, developmental or emotional condition that camp should be aware of? If yes, please explain Please answer as accurately as possible - My child is: Beginner - Not comfortable in water deeper than 3 ft.Intermediate - Comfortable in water deeper than 3 ft.Advanced - An excellent swimmer. Is your child adopted? YesNo Are there any social or other challenges we should be aware of? Child 2 Full Name First Name Last Name Birth Date Month Day Year Gender Grade entering When will you child be attending? $500 per week or $3200 for the whole summer Week 1Week 2Week 3Week 4Week 5Week 6Week 7Whole Summer 7 weeks Medical Information Child 2: Pediatrician First Name Last Name Phone Number Area Code Phone Number Insurance My child is permitted to be given Children's Tylenol, Motrin or similar should the need arise YesNo Is your child allergic to any medications? If yes, please explain Is your child allergic to any foods? If yes, please explain Is your child up to date on all immunizations? YesNo Does your child have a medical, developmental or emotional condition that camp should be aware of? If yes, please explain Please answer as accurately as possible - My child is: Beginner - Not comfortable in water deeper than 3 ft.Intermediate - Comfortable in water deeper than 3 ft.Advanced - An excellent swimmer. Is your child adopted? YesNo Are there any social or other challenges we should be aware of? Child 3 Full Name First Name Last Name Birth Date Month Day Year Gender Grade entering When will you child be attending? $500 per week or $3200 for the whole summer Week 1Week 2Week 3Week 4Week 5Week 6Week 7Whole Summer 7 weeks Medical Information Child 3: Pediatrician First Name Last Name Phone Number Area Code Phone Number Insurance My child is permitted to be given Children's Tylenol, Motrin or similar should the need arise YesNo Is your child allergic to any medications? If yes, please explain Is your child allergic to any foods? If yes, please explain Is your child up to date on all immunizations? YesNo Does your child have a medical, developmental or emotional condition that camp should be aware of? If yes, please explain Please answer as accurately as possible - My child is: Beginner - Not comfortable in water deeper than 3 ft.Intermediate - Comfortable in water deeper than 3 ft.Advanced - An excellent swimmer. Is your child adopted? YesNo Are there any social or other challenges we should be aware of? Child 4 Full Name First Name Last Name Birth Date Month Day Year Gender Grade entering Sessions ($200 per session) Week 1Week 2Week 3Week 4Week 5Week 6 Medical Information Child 4: Pediatrician First Name Last Name Phone Number Area Code Phone Number Insurance My child is permitted to be given Children's Tylenol, Motrin or similar should the need arise YesNo Is your child allergic to any medications? If yes, please explain Is your child allergic to any foods? If yes, please explain Is your child up to date on all immunizations? YesNo Does your child have a medical, developmental or emotional condition that camp should be aware of? If yes, please explain Please answer as accurately as possible - My child is: Beginner - Not comfortable in water deeper than 3 ft.Intermediate - Comfortable in water deeper than 3 ft.Advanced - An excellent swimmer. Is your child adopted? YesNo Are there any social or other challenges we should be aware of? If you have additional children, please contact us. 2. Parents Information Mothers Info: Full Name Phone Number Area Code Phone Number Address Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country E-mail Primary email Marital Status MarriedSingleDivorcedSeparated Religion Jewish by birthJewish by conversionNot Jewish Fathers Info: Full Name Phone Number Area Code Phone Number Address Leave blank if same as above Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country E-mail Primary email Marital Status MarriedSingleDivorcedSeparated Religion Jewish by birthJewish by conversionNot Jewish Child may be picked up from camp by: Name and Relationship I would like to receive news and updates by email 3. Emergency Information Emergency Contact First Name Last Name Phone Number Area Code Phone Number Relationship I hereby give consent to the administration of Lamorinda Jewish Summer Camp to take whatever medical measures they deem necessary, at my expense, for my child in the event of a medical emergency. I understand that, when possible, every effort will be made to contact parent/guardian or emergency contact before CLamorinda Jewish Summer Camp will undertake such a decision. Signature of Parent or Guardian Date & Time Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM 4. Payment InformationA $50 non-refundable registration fee per child applies as part of this registration. Total $0.00 I would like to pay today:Full amount20% minimum: $0.00 $ Yes, I'd like to donate the cost of processing this transaction by adding 3.5% Agreement* I am signing up my child for camp. I give my child permission to attend all trips and receive medical care in the case of emergency, G-d forbid. I give Lamorinda Jewish Summer Camp permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the camp sees fit. General comments 5. Terms and Conditions PARENTAL CONSENT: I hereby give consent for my child to participate in all activities of Lamorinda Jewish Summer Camp (LJSC) both on and off site, trips, transportation to and from trips etc., unless I advise you otherwise in writing. Limited Guardianship Approval: I hereby consent that LJSC directors - Rabbi Israel & Mrs. Tzipora Labkowski be granted limited guardianship capabilities with regards to signing waivers on behalf of my child / children for trips specified in this year's camp schedule. (I do understand that I may still be asked to fill out waivers, as not all locations accept this consent) PAYMENT AND CANCELLATION: Payment terms are a $50.00 non-refundable deposit per camper to accompany registration. The balance is due by June 19, and is non-refundable after that date. DISMISSAL OF CAMPER: Parent fully understands and agrees that the Camp reserves the right to dismiss, in its sole discretion, any Camper whose condition, conduct, influence or behavior is deemed unsatisfactory or detrimental to the best interests of the Camp or fellow campers or who violates camp rules and regulations. In the event of dismissal, tuition will be refunded on a prorated basis less the $50.00 registration deposit. IMAGES, ETC.: Permission is hereby given to use in promoting the Camp and in other ventures directly relating to the Camp (i) digital, photographic and video images or likenesses of camper; audio of camper; and (ii) statements, articles, names, music, art, photographs, audio recordings, films and videos created by camper or originating from Camp or from a Camp-related activity. INDEMNIFY & HOLD HARMLESS: I further release and agree to indemnify and hold harmless Lamorinda Jewish Summer Camp (LJSC) and its officers, servants or assignees from any liability concerning our child’s involvement in LJSC and further agree that the use of any premises during the LJSC camp day is made at the risk of the registrant. I have read and agree to all of the terms and conditions in this Application Form. I am including a non-refundable $50 registration deposit per camper along with submission of this form. I further agree to remit the full tuition and any other fees by June 19 as per the agreed timeline of my choice on this form. Signature of Parent or Guardian Date & Time Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM Should be Empty: Submit This page uses TLS encryption to keep your data secure.
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