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
2023-02-06PaigeHusseySt. Charles Borromeo[email protected]2178403064CharlestonIL10Springfield
2022-11-30JaneRottinghausSacred Heart[email protected]7853361048BaileyvilleKS4Kansas City
2022-10-24CaitlynCabralSt. Patrick Church[email protected]6413474058Clear LakeIA12Dubuque
2022-10-09RitaHemmerSt. Leo's Parish Community[email protected]308-382-4753Grand IslandNE8Grand Island
2022-10-06MeganPollySt. Anne[email protected]9182601964BROKEN ARROWOK17Tulsa
2022-10-06Jeremy WRodriguezSs. Cyril and Methodius[email protected]512-594-3836ShinerTX50Victoria
2022-10-05JenniferSchauerSt.Francis Xavier[email protected]2183980471Lake ParkMN10Crookston
2022-10-05RuthPeraSt. Margaret of Scotland[email protected]314-776-0363Saint LouisMO7Archdiocese of St. Louis
2022-10-05SueLivermoreSt. Mary of the Lakes[email protected]2188412144Detroit LakesMN4Crookston
2022-10-04SandyBuessingSt. Michael's Church[email protected]785-736-2390AxtellKS23Archdiocese of Kansas City in Kansas
2022-10-04LindaRoederAnnunciation[email protected]7857994460FrankfortKS22Kansas City of Kansas
2022-10-03MikeStallbaumerSts. Peter & Paul[email protected]785-294-0927SenecaKS50Kansas City Kansas
2022-10-03St. LouisYouth MinistrySt. Louis Catholic Church[email protected]901-255-1965MemphisTN69Memphis

Total quantity sold : 286

Email selected customers

Contact Leader's NameParish/Youth 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 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 (City) AttendingChurch/Parish CommentsPlease upload your letter of suitability belowEntry IDSequence NumberEntry DateDelete Entry Link
No records found

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
No records found