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
2023-03-15LisaVelazquezSt. Joseph The Worker[email protected]9715172807PORTLANDOR18Portland
2023-03-03RevelinaSantiagoSt. Stephen Protomartyr[email protected]2245510782DES PLAINESIL12Archdiocese of Chicago
2022-12-07SammeyChisholmSaint Elizabeth of Hungary[email protected]2016773033WyckoffNJ15Newark
2022-10-07NancyVonthadenSS Peter and Paul[email protected]916-343-1168RocklinCA21sacramento
2022-10-06Msgr. MichaelBlissSt. Philomena Church[email protected]2177622566MonticelloIL16Peoria
2022-10-05DaleMasseySt. Louis (Ignite Youth Ministry)[email protected]9208662410LuxemburgWI15Green Bay
2022-10-05DEBTONERSAINT LUKE CHURCH[email protected]2039818817WESTPORTCT16BRIDGEPORT CT
2022-10-05KCKranichSt. Francis Borgia[email protected]2623771070CedarburgWI63Milwaukee
2022-10-05CarolHeithoffSt. Gabriel the Archangel[email protected]719-396-4215Colorado SpringsCO7Colorado Springs
2022-10-05AndreyaArevaloSt. Mary[email protected]7074464231VacavilleCA22Sacramento
2022-10-05NathanScheopnerSt. Dominic[email protected]6209374670Garden CityKS11Dodge City

Total quantity sold : 216

Email selected customers
Contact Leader's NameParish / GroupCamp AttendingVehicle 1 - Type of VehicleVehicle 1 - Driver's NameVehicle 1 - Insurance CompanyVehicle 1 - Number of SeatbeltsAdd second vehicle?Vehicle 2 - Type of VehicleVehicle 2 - Driver's NameVehicle 2 - Number of SeatbeltsVehicle 2 - Insurance CompanyAdd third vehicle?Vehicle 3 - Type of VehicleVehicle 3 - Driver's NameVehicle 3 - Number of SeatbeltsVehicle 3 - Insurance CompanyAdd fourth vehicle?Vehicle 4 - Type of VehicleVehicle 4 - Driver's NameVehicle 4 - Number of SeatbeltsVehicle 4 - Insurance CompanyAdd fifth vehicle? Vehicle 5 - Type of VehicleVehicle 5 - Driver's NameVehicle 5 - Number of SeatbeltsVehicle 5 - Insurance CompanyAdd sixth vehicle?Vehicle 6 - Type of VehicleVehicle 6 - Driver's NameVehicle 6 - Number of SeatbeltsVehicle 6 - Insurance CompanyAdd seventh vehicle?Vehicle 7 - Type of VehicleVehicle 7 - Driver's NameVehicle 7 - Number of SeatbeltsVehicle 7 - Insurance CompanyAdd eighth vehicle?Vehicle 8 - Type of VehicleVehicle 8 - Driver's NameVehicle 8 - Number of SeatbeltsVehicle 8 - Insurance CompanyAdd ninth vehicle?Vehicle 9 - Type of VehicleVehicle 9 - Driver's NameVehicle 9 - Number of SeatbeltsVehicle 9 - Insurance CompanyDeparture Date & TimeDeparture City & CodeDeparture Airline & Flight #Do you have a connecting flight for this trip?Connecting City & CodeConnecting Airline & Flight #Connecting Date / TimeArrival Date & TimeDeparture 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?CommentsContact Leader's EmailEntry IDSequence NumberEntry DateDelete Entry Link
I am completing this Verification Form for my _______________ Camp AttendingName of ParishName of GroupPlease list the names of all adults attending (18+ at the time of camp)Verification Agreement: ParishVerification Agreement: CommunityContact Leaders NameContact Leader's SignatureContact Leader's EmailPastor's NamePastor's SignatureAre there any policies your group must follow as established by your diocese?Please explainEntry IDSequence NumberEntry DateDelete Entry Link
NameEmailCamp AttendingChurch/Parish CommentsPlease upload your letter of suitability belowEntry IDSequence NumberEntry DateDelete Entry Link
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Camper Paperwork (AKA Applications)

Participant NameNicknameParish / GroupHave you attended CHWC before?How many years?GenderShirt SizeAge Category (at the time of camp)Grade entering in the fall of 2023Cell PhoneEmailFirst Choice Service AssignmentSecond Choice Service AssignmentConstruction: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 CampParticipant Date of BirthEmergency ContactEmergency Contact, Relationship to ParticipantEmergency Contact, Phone NumberHealth Status: Please list any health problems you may havePlease list all medications taken routinely (over the counter and prescription)Physician NamePhysician Phone NumberDate of your last Tetanus BoosterHealth Insurance: ProviderHealth Insurance: Policy NumberHealth Insurance: Group NumberRELEASE OF ALL CLAIMSMEDIA WAIVERCODE OF BEHAVIORParticipant SignatureCustodial Parent NameCustodial Parent SignatureCustodial Parent EmailSIGNATURE AGREEMENTAre you a member of clergy or professed religious?Please SpecifyEntry IDSequence NumberEntry DateDelete Entry Link
NameEmailParish / GroupCamp you attendedAdditional comments/concerns on CHWCI am a...How many years have you attended CHWC?Morning ProgramEvening ProgramMusician(s)Carpenter CommandosFour Corners ExperienceAdorationCamp ChaplainYouth Group ActivitiesCamp ManagerCHWC StaffStaff Talk/WitnessesFacility you stayed inYour work projectOverall, how would you rate CHWC?Manager's organizational skillsManager's response for concernsManager's communication before campThe level of need at your work projectAdditional comments on the Manager(s)/Work ProjectSkitsAdditional Comments on ProgramWould you recommend CHWC to a friend?Do you plan on returning to camp next year?Light ShowFood/RestaurantsSchedule/ItinerarySafetyExtra FreedayEntry StatusEntry AuthorEntry Resume LinkDelete Entry Link