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
2022-11-15JohnPowenHoly Cross Parish Community Room or via Zoom[email protected]708-906-5802DeerfieldIL20Archdiocese of Chicago
2022-11-14SarahCaseySt. Elizabeth Ann Seton[email protected]3193933778HIAWATHAIA14Archdiocese of Dubuque
2022-11-14TracyStockerSt. John XXIII Parish (IA)[email protected]13198463139Cedar RapidsIA22Dubuque
2022-11-14Deacon JimNovakSacred Heart Catholic Church[email protected]940-889-5252SeymourTX12Fort Worth, Tx.
2022-11-10MariaHaasSaints John and Paul Parish[email protected]5635068711AltoonaIA15Des Moines
2022-10-25ClaireParrulli-LowtherSt. John XXIII (NM)[email protected]5053232750AlbuquerqueNM12Santa Fe
2022-10-13JocelynJohnsonOur Lady of Peace[email protected]3202507319MinneapolisMN6St. Paul & Minneapolis
2022-10-05KatieDellSt. Jude[email protected]2149442087AllenTX16Dallas
2022-10-05WendyWandroImmaculate Conception[email protected]6412281071Charles CityIA20Dubuque
2022-10-05TylerRiedSt. Alexander[email protected]3098262049Palos HeightsIL12Chicago
2022-10-05DebMalcomChurch of St. Benedict[email protected]918-455-4451Broken ArrowOK16Tulsa
2022-10-05JohnSobolSt. Elizabeth Seton and St. Stephen Deacon and Martyr[email protected]708-986-2446Orland HillsIL4Archdiocese of Chicago
2022-10-05KatieSmithSt. Joseph[email protected]9792551684RichardsonTX25Dallas
2022-10-05CatherineCampbellSt. Columbkille[email protected]402-339-3285PapillionNE35Archdiocese of Omaha
2022-10-05JimWelchSt. Mary of Vernon[email protected]224-531-7454Indian CreekIL26Chicago
2022-10-03EvelynGarfiasSt. Walter[email protected]6304415036RoselleIL15Joliet
2022-10-03ConnieBrunswickSt NIcholas[email protected]9376233865OsgoodOH3Cincinnati

Total quantity sold : 273

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