2024 GSP Registration (After May 30)

Please read the following before beginning the registration:

– Participants must be entering at least 9th grade and no older than the summer after their senior year of high school.
– Participants are expected to stay for the duration of the Good Samaritan Project. (No coming late or leaving early.
– In order to preserve the retreat experience, participants will not be permitted to have cell phones or internet capable devices on property. Having this device on property will result in being sent home without a refund.
– Participants must attend as a part of a registered parish/school group.
– Once you register, the group leader will receive your information and be able to contact you.
– Since group leaders assume full responsibility for the youth attending with their group, they may choose to accept or deny your registration.
– If your parish or school is not listed below in the group dropdown, please contact your parish or school’s youth minister expressing your interest in Good Samaritan Project.
– If your parish or school does not plan on attending Good Samaritan Project, you may sign up with another group. We have encouraged your youth minister to assist you in finding the best parish option in which to join. Please reach out to that parish before registering in order to improve your chances of approval.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Participant Information

Participant's Full Name*

Participant's Preferred First Name*

Appropriate names only will be used on his/her nametag instead of their First Name. Please do not include the last name in this field.

Birthdate*

Biological Sex*

Entering Grade*

Participant's Email*

Name of Parish/School You Are Attending With*

Participant's Mailing Address*

T-Shirt Size*

How many GSPs have you attended?*

Help us Make GSP the best it can be for you!

Favorite Recreational Hobbies/Activities?

Any preferred types of prayer?

Is your child interested in auditioning for “GSP’s Got Talent” this year?

Does your child attend regular youth ministry programming at your parish, or will this be a new experience?

Do you play an instrument and/or sing?*

Yes

Are you interested in being part of the GSP praise band for Masses?*

Yes

Rock on! What instruments do you play?

e.g.: singing, guitar, drums, etc. (Tap the + to add more!)

May we email you and your parent/guardian prior to GSP to share sheet music to help with preparation?

Yes

Parent/Guardian Information

Relationship to Participant*

Parent/Guardian, Family Member etc.

Full Name*

Mobile Phone Number*

Please enter only the one best number here and please include the area code, e.g.: XXX-XXX-XXXX

Additional Phone Number

Please enter only an additional phone number here and please include the area code, e.g.: XXX-XXX-XXXX

Email Address*

Additional Parent/Guardian Full Name (Optional)

Optional

Additional Parent/Guardian Mobile Phone Number (Optional)

Additional Parent/Guardian Email Address (Optional)

Emergency Contact Information

Emergency Contact's Full Name*

Emergency Contact's Phone*

Please enter only the one best number here and please include the area code, e.g.: XXX-XXX-XXXX

Relationship to Participant

Parent, Guardian, Family Member etc.

Dietary and Medical Information

GSP works to reasonably accommodate basic dietary requirements. If your child has extensive dietary restrictions/needs we may not be able to accommodate. If we are unable to accommodate – we will reach out about a plan where you provide food for your child and we provide a space in which to store it.

Do you have an Dietary Restrictions or Food Allergies?*

Yes

Dietary Restrictions/Food Allergies*

Gluten-Free

Dairy-Free

Vegetarian

Vegan

Nut Allergy

Other

Please Specify Allergy/Restriction Type*

e.g.: Allergic to mushrooms, almonds and strawberries (Tap the + to add more.)

Allergy

Do you have any Medicinal Allergies?*

e.g.: Allergic to penicillin

Yes

Medicinal Allergies*

(Tap the + to add more.)

Do you have any Physical Restrictions?*

e.g.: asthma, diabetes, depression, ADHD

Yes

Physical Restrictions*

(Tap the + to add more.)

Medications currently taking. (Dosage and when taken)*

(Tap the + to add more.)

Any medical conditions we should be aware of?

(Please list)

Health Insurance Provider*

Policy Number*

Primary Physicians Name

Primary Physicians Phone Number

(###) ###-####

Permission to administer OTC meds.*

Yes

(Tylenol, Benadryl, etc.)

Permission to seek emergency medical treatment.*

Yes

Anything else you would like to share to make this week successful for your child?

Behavior & Conduct

Please read the acknowledgements and check the boxes to confirm you have read and agree to the statements they accompany.

Participant Information

Parent/Guardian Information

Emergency Contact Information

Dietary and Medical Information

Behavior & Conduct

Registration is Not Guaranteed