Register for Goshen College Summer Camps GC Summer Camps 2025 Child's Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Name of Parent/Guardian* First Last Parent/Guardian's Phone*Parent/Guardian's Email School Child AttendsGrade Level for Fall 20251st2nd3rd4th5th6th7th8th9th10th11th12thPlease select which day camps you would like to register your student for. Read, Act, Create!, June 2-6 (1st-2nd) Board Game Creation, June 2-6 (4th-5th) Write On Sports, June 9 -20 (7th-9th) Outdoor Fitness, June 16-20 (7th-8th) STEM Lego Camp 201, June 23-27 (7th-8th) Explorar la cultura y la futura, July 14-18 (4th-6th) ASL Camp 101, July 14-18 (6th-8th) Please select which high school camps you would like to register your student for. A Paso al Exito, June 2-20 Exercise Science, June 9-13 Filmmaking, June 9-13 ASL Camp 201, July 7-11 Self- Care & Beauty, June 16-20 (9th-10th) Health Careers Camp, July 7-11 (11-12 & recent grads) Race of childBlack/African AmericanWhiteLatino/Latina/LatinxAsianPacific IslanderAmerican Indian or Alaska NativeMixed RaceLiabilityList behavioral and/or disability issues. (include if your child has an IEP):List food or environmental allergies:List medical conditions:Emergency ContactEmergency Contact 1* First Last Emergency Contact 1 Phone*Emergency Contact 2 First Last Emergency Contact 2 phoneTransportation InformationWhat are your means of transportation? Select one:*I will provide transportation to & from Goshen CollegeI request pick up at a to be determined central location in:My child is allowed to walk/bike home from the Goshen College campus. Goshen College will not be held liable for any incidents of harm or injury that could occur.Which Location:Elkhart. Goshen College will not be held liable for any incidents of harm or injury that could occur.Goshen. Goshen College will not be held liable for any incidents of harm or injury that could occur.Please designate up to three individuals who can pick up your child as well as a phone number for each person:Separate people with commas. Please limit to three (3) people.I understand that my child must be at the pick-up location promptly and if they are not there on time, I am responsible for getting my child to camp. I also agree to have an appointed person there to pick my child up at the specified time.* Yes, I agree No, I do not ConsentPhoto Waiver: I hereby grant permission to Goshen College, and its employees, agents, and assignees, the right to photograph my child or use their picture for purposes of advertising, publicity, trade, or otherwise, as still photographs, transparencies, motion pictures, television, web images, or other media or means of reproduction, transmission, or exhibition. I release Goshen College, its employees, agents, associates, successors, and assignees from any and all claims for damages or compensation for any claims based on the use or sale of said materials. I hereby waive the right to inspect, approve, or edit said material.* Yes, I agree No, I do not Injury Waiver: I agree, on behalf of myself or my child, not to make any claims of any kind against Goshen College or any of its employees or agents for any loss or injury that my child might sustain while engaged in the Summer Camp program. I authorize such physicians or medical staff as Goshen College may designate to carry out any minor treatment and/or medical staff to provide any treatment deemed necessary for the well-being of my child.* Yes, I agree No, I do not Payment InformationWill you be needing a scholarship to cover the camp registration fee?NoYesDoes your household qualify for free or reduced school lunches?YesNoDay Camp Registration Fee - Read Act Create Price: $50.00 Day Camp Registration Fee - Boardgames Price: $50.00 Day Camp Registration Fee - Write on Sports Price: $50.00 Day Camp Registration Fee - Camp COE Price: $50.00 Day Camp Registration Fee -Outdoor Price: $50.00 Day Camp Registration Fee - Lego 101 Price: $50.00 Day Camp Registration Fee - Lego 201 Price: $50.00 Day Camp Registration Fee - Arts & Vision Price: $50.00 Day Camp Registration Fee - Young Entrepreneurs Price: $50.00 Day Camp Registration Fee - Explorar Price: $50.00 Day Camp Registration Fee - ASL 101 Price: $50.00 Day Camp Registration Fee - Ethos Price: $50.00 Career Camp Registration Fee - A Paso Price: $125.00 Career Camp Registration Fee - Exercise Science Price: $125.00 Career Camp Registration Fee - Filmmaking Price: $125.00 Career Camp Registration Fee - ASL 201 Price: $125.00 Career Camp Registration Fee - Selfcare Price: $125.00 Day Camp Scholarship - Read Act Create Price: -$50.00 Day Camp Scholarship - Board Game Creation Price: -$50.00 Day Camp Scholarship - Camp COE Price: -$50.00 Day Camp Scholarship - Write on Sports Price: -$50.00 Day Camp Scholarship - Outdoor Fitness Price: -$50.00 Day Camp Scholarship - STEM Lego 101 Price: -$50.00 Day Camp Scholarship - Stem Lego 201 Price: -$50.00 Day Camp Scholarship - Arts & Vision Price: -$50.00 Day Camp Scholarship - Young Entrepreneurs Price: -$50.00 Day Camp Scholarship - Explorar la Culture y la future Price: -$50.00 Day Camp Scholarship - ASL Camp Price: -$50.00 Day Camp Scholarship - Ethos Price: -$50.00 Career Camp Scholarship - A paso Price: -$125.00 Career Camp Scholarship - Exercise Price: -$125.00 Career Camp Scholarship - Filmmaking Price: -$125.00 Career Camp Scholarship - ASL 201 Price: -$125.00 Career Camp Scholarship - Self-care Price: -$125.00 Total Registration Fee $0.00 Billing Address* Same as above Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name Total Registration Fee $0.00 Privacy Policy AgreementBy submitting this form, I give permission for my form submission and visit to this website to be tracked, to have the data I provided and information about my browser stored, and for this information to be shared with select third parties as outlined in the Privacy Policy. 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