Good Samaritan Summer Camp Registration

This form can be used to register up to 3 campers as long as they are attending the same camp days and share the same parent information

Camper Information

Please use this section to let use know about any allergies and/or medical conditions camper ONE may have.
Please use this section to let use know about any allergies and/or medical conditions camper TWO may have.
Please use this section to let use know about any allergies and/or medical conditions camper THREE may have.

Please select the days/weeks you would like your camper(s) to attend below

Parent Information

To acknowledge that you understand, agree and consent to the terms and conditions above, please type "YES" into the following box and then click the "I agree" button to proceed with registering.