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

I confirm that I am the legal guardian for the child looking to attend or am filling this registration out with the consent of my legal guardian.*

I confirm that I am the legal guardian for the child looking to attend, or I am filling out this registration with the consent of my legal guardian.*

Participant Information

Participant's Full Name*

First Last Suffix

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.

First

Birthdate*

Biological Sex*

Participant's Email*

Enter Email Confirm Email

Entering Grade*

Name of Parish/School You Are Attending With*

Participant's Mailing Address*

Street Address Address Line 2 City State ZIP Code

T-Shirt Size*

How many GSPs have you attended?*

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

Full Name*

First Last

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*

Enter Email Confirm Email

Additional Parent/Guardian Full Name (Optional)

Optional

First Last

Additional Parent/Guardian Mobile Phone Number (Optional)

Additional Parent/Guardian Email Address (Optional)

Enter Email Confirm Email

Emergency Contact Information

Emergency Contact's Full Name*

First Last

Emergency Contact's Phone*

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

Dietary and Medical Information

Do you have an Dietary Restrictions or Food Allergies?*

Yes

The leaders of the Good Samaritan Project will provide, to the best of their ability, special meals where medically required. We will try to provide alternatives but are not able to provide special meals based on nutritional lifestyles or choices. GSP cannot rule out cross-contamination of medically required meals. If dangerous allergic reactions could occur, GSP suggests those participating consult with their group leader about bringing supplemental food.

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 Physcial Restrictions?*

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

Yes

Physical Restrictions*

(Tap the + to add more.)

Acknowledgements

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

Consent*

I acknowledge that I am not allowed to bring my cell phone, Apple Watch, Air Pods and other forms of technology during the week. All necessary communication will be done through the parish or school group leader.*

Consent*

I acknowledge that I will be there for the start of the program (Monday at 3:00 PM), and I will stay until the end of the closing Mass on Saturday, around 11am. I will remain with the program for the duration of the week.*

Consent*

I understand this is a Catholic service retreat where we will be Growing, Serving, Praying, developing leadership skills, and encountering others in a Christian community.*

Consent*

I agree to submit all necessary paperwork and payment to my group leader according to the timelines given upon acceptance to the Good Samaritan Project.*

Consent*

I agree to review to the Code of Conduct and sign off on agreeing to the terms.*

Phone

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