Good News Camp Registration 2025 for Scholarship

Camper's Name

Parents/Guardians' Names

This address will receive a confirmation email

Phone

Alternate Phone (in case no one can be reached at the above phone number)

Address

Camp Week (Each camper may attend one week per summer.)

Gender

Boy Girl

Age During Camp Week

Grade Next Fall

List any medications, allergies, health information, or any other special instructions

Is your child allowed to take Tylenol

Yes No

Please upload a signed copy of the Activity Participation Agreement

Upload (8MB)

Have you filled out the Activity Participation Agreement?

Yes No

I agree to read the camper confirmation letter completely. It will be emailed after payment.

Yes No

Please type your signature (Parent or Guardian only). In case of emergency, I give consent for my child to receive medical care.

To receive a full scholarship, enter an amount of $0 in the payment field. Please indicate reason for scholarship (e.g. child of camp teacher) here:

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description