Group List
| Date | Billing First name | Billing Last name | Billing Company | Billing E-mail | Billing Phone | Billing City | Billing State | Variation | Order Qty Total | _billing_diocese |
|---|---|---|---|---|---|---|---|---|---|---|
| 2023-03-15 | Lisa | Velazquez | St. Joseph The Worker | [email protected] | 9715172807 | PORTLAND | OR | 18 | Portland | |
| 2023-03-03 | Revelina | Santiago | St. Stephen Protomartyr | [email protected] | 2245510782 | DES PLAINES | IL | 12 | Archdiocese of Chicago | |
| 2022-12-07 | Sammey | Chisholm | Saint Elizabeth of Hungary | [email protected] | 2016773033 | Wyckoff | NJ | 15 | Newark | |
| 2022-10-07 | Nancy | Vonthaden | SS Peter and Paul | [email protected] | 916-343-1168 | Rocklin | CA | 21 | sacramento | |
| 2022-10-06 | Msgr. Michael | Bliss | St. Philomena Church | [email protected] | 2177622566 | Monticello | IL | 16 | Peoria | |
| 2022-10-05 | Dale | Massey | St. Louis (Ignite Youth Ministry) | [email protected] | 9208662410 | Luxemburg | WI | 15 | Green Bay | |
| 2022-10-05 | DEB | TONER | SAINT LUKE CHURCH | [email protected] | 2039818817 | WESTPORT | CT | 16 | BRIDGEPORT CT | |
| 2022-10-05 | KC | Kranich | St. Francis Borgia | [email protected] | 2623771070 | Cedarburg | WI | 63 | Milwaukee | |
| 2022-10-05 | Carol | Heithoff | St. Gabriel the Archangel | [email protected] | 719-396-4215 | Colorado Springs | CO | 7 | Colorado Springs | |
| 2022-10-05 | Andreya | Arevalo | St. Mary | [email protected] | 7074464231 | Vacaville | CA | 22 | Sacramento | |
| 2022-10-05 | Nathan | Scheopner | St. Dominic | [email protected] | 6209374670 | Garden City | KS | 11 | Dodge City |
Total quantity sold : 216
| Contact Leader's Name | Parish / Group | Camp Attending | Vehicle 1 - Type of Vehicle | Vehicle 1 - Driver's Name | Vehicle 1 - Insurance Company | Vehicle 1 - Number of Seatbelts | Add second vehicle? | Vehicle 2 - Type of Vehicle | Vehicle 2 - Driver's Name | Vehicle 2 - Number of Seatbelts | Vehicle 2 - Insurance Company | Add third vehicle? | Vehicle 3 - Type of Vehicle | Vehicle 3 - Driver's Name | Vehicle 3 - Number of Seatbelts | Vehicle 3 - Insurance Company | Add fourth vehicle? | Vehicle 4 - Type of Vehicle | Vehicle 4 - Driver's Name | Vehicle 4 - Number of Seatbelts | Vehicle 4 - Insurance Company | Add fifth vehicle? | Vehicle 5 - Type of Vehicle | Vehicle 5 - Driver's Name | Vehicle 5 - Number of Seatbelts | Vehicle 5 - Insurance Company | Add sixth vehicle? | Vehicle 6 - Type of Vehicle | Vehicle 6 - Driver's Name | Vehicle 6 - Number of Seatbelts | Vehicle 6 - Insurance Company | Add seventh vehicle? | Vehicle 7 - Type of Vehicle | Vehicle 7 - Driver's Name | Vehicle 7 - Number of Seatbelts | Vehicle 7 - Insurance Company | Add eighth vehicle? | Vehicle 8 - Type of Vehicle | Vehicle 8 - Driver's Name | Vehicle 8 - Number of Seatbelts | Vehicle 8 - Insurance Company | Add ninth vehicle? | Vehicle 9 - Type of Vehicle | Vehicle 9 - Driver's Name | Vehicle 9 - Number of Seatbelts | Vehicle 9 - Insurance Company | Departure Date & Time | Departure City & Code | Departure Airline & Flight # | Do you have a connecting flight for this trip? | Connecting City & Code | Connecting Airline & Flight # | Connecting Date / Time | Arrival Date & Time | Departure Date & Time (End of Week) | Departure Airline & Flight # (End of Week) | After the free day, will you be returning to the school stay the night? | Number of People Traveling? | Comments | Contact Leader's Email | Entry ID | Sequence Number | Entry Date | Delete Entry Link |
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| I am completing this Verification Form for my _______________ | Camp Attending | Name of Parish | Name of Group | Please list the names of all adults attending (18+ at the time of camp) | Verification Agreement: Parish | Verification Agreement: Community | Contact Leaders Name | Contact Leader's Signature | Contact Leader's Email | Pastor's Name | Pastor's Signature | Are there any policies your group must follow as established by your diocese? | Please explain | Entry ID | Sequence Number | Entry Date | Delete Entry Link |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Name | Camp Attending | Church/Parish | Comments | Please upload your letter of suitability below | Entry ID | Sequence Number | Entry Date | Delete Entry Link |
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No records found
| Participant Name | Nickname | Parish / Group | Have you attended CHWC before? | How many years? | Gender | Shirt Size | Age Category (at the time of camp) | Grade entering in the fall of 2023 | Cell Phone | First Choice Service Assignment | Second Choice Service Assignment | Construction: | Concrete/Masonry: | Drywall: | Painting: | Plumbing: | Electrical: | Any comments to help place you on a team? | Are there any health issues we need to know about before placing you at a worksite? | Other Jobs at Camp | Participant Date of Birth | Emergency Contact | Emergency Contact, Relationship to Participant | Emergency Contact, Phone Number | Health Status: Please list any health problems you may have | Please list all medications taken routinely (over the counter and prescription) | Physician Name | Physician Phone Number | Date of your last Tetanus Booster | Health Insurance: Provider | Health Insurance: Policy Number | Health Insurance: Group Number | RELEASE OF ALL CLAIMS | MEDIA WAIVER | CODE OF BEHAVIOR | Participant Signature | Custodial Parent Name | Custodial Parent Signature | Custodial Parent Email | SIGNATURE AGREEMENT | Are you a member of clergy or professed religious? | Please Specify | Entry ID | Sequence Number | Entry Date | Delete Entry Link | |
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| Name | Parish / Group | Camp you attended | Additional comments/concerns on CHWC | I am a... | How many years have you attended CHWC? | Morning Program | Evening Program | Musician(s) | Carpenter Commandos | Four Corners Experience | Adoration | Camp Chaplain | Youth Group Activities | Camp Manager | CHWC Staff | Staff Talk/Witnesses | Facility you stayed in | Your work project | Overall, how would you rate CHWC? | Manager's organizational skills | Manager's response for concerns | Manager's communication before camp | The level of need at your work project | Additional comments on the Manager(s)/Work Project | Skits | Additional Comments on Program | Would you recommend CHWC to a friend? | Do you plan on returning to camp next year? | Light Show | Food/Restaurants | Schedule/Itinerary | Safety | Extra Freeday | Entry Status | Entry Author | Entry Resume Link | Delete Entry Link |
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