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
2023-01-26JenMetzgerSt. Peter the Fisherman[email protected]715-490-4362Eagle RiverWI12Superior
2023-01-19TinaSchnarrSt. Pius X[email protected]317-466-3370IndianapolisIN8Indianapolis
2023-01-10MikaylaAndersonSt John the Baptist Catholic Church[email protected]651-633-8333New BrightonMN12St. Paul and Minneapolis
2022-12-30Fr. DeanProbstSt. Thomas[email protected]618-783-8741NewtonIL19Springfield in Illinois
2022-12-04JAMESCHILDERSSaint Patrick's[email protected]12177142944SAINT JOSEPHIL10Peoria, IL
2022-11-18MelissaReinhartSt. Joseph, Freeburg[email protected]6189792412FREEBURGIL19Belleville Dioecese
2022-11-17MichaelCaseyChurch of St William (MN)[email protected]7635715600FridleyMN7St Paul and Minneapolis
2022-11-15LauraHackYouth Life KY - Good Shepherd & Ss. Francis and John[email protected]502-227-4511FrankfortKY19Lexington
2022-11-07KrystynaWojcik-MajkaSt. John Brebeuf[email protected]847-966-8145Niles ILIL14Chicago
2022-11-07AubriBourgeSt. Mary's Sycamore[email protected]3098267709SycamoreIL16Rockford
2022-10-27KatiePylesSt Gall Catholic Church[email protected]815-761-5496ElburnIL6Rockford
2022-10-24MelissaMontenegroChrist the King[email protected]5099461675RichlandWA29Yakima
2022-10-05NickRadunzMary of the Visitation[email protected]3202905578BeckerMN30St. Cloud
2022-10-05MartaRobakSt. Zachary Parish[email protected]8479561264Des PlainesIL13Chicago
2022-10-05DawnRoeschSt. Joseph the Worker[email protected]2178994334ChathamIL23Springfield

Total quantity sold : 237

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
NameNicknameGenderAge Category (at the time of camp)Grade entering in the fall of 2023Cell PhoneEmailParticipant 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 WAIVERParticipant SignatureCustodial Parent NameCustodial Parent SignatureCustodial Parent EmailSIGNATURE AGREEMENTAre you a member of clergy or professed religious?Please SpecifyParish / GroupCampEntry IDSequence NumberEntry DateDelete Entry Link

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
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