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
2023-02-23scottvankeulenSt Therese[email protected]6059299657BrandonSD10Sioux Falls
2023-02-03SeptemberNottBlessed Sacrament[email protected]309-648-9588East PeoriaIL18Peoria, IL
2022-12-14PattyMcCarthyHoly Family[email protected]8479073439InvernessIL13Chicago
2022-12-13NicoleWellingtonSt. Michael[email protected]6053611600Sioux FallsSD8Sioux Falls
2022-10-26SergioCortes LacayoThe Epiphany of the Lord Parish[email protected]814-336-1112MeadvillePA10Diocese of Erie
2022-10-26ChristinaHudsonSt. James[email protected]2243457214Arlington HeightsIL13Chicago
2022-10-21JackNovakSt. Lawrence[email protected]5867315072UticaMI14Detroit
2022-10-18CariHallSt. Simon Catholic Church[email protected]812-360-3755IndianapolisIN12Indianapolis
2022-10-10GabeHorrallSt. Francis Xavier[email protected]8128913684VincennesIN26Evansville
2022-10-05TheresaAndaryPrince of Peace[email protected]2317443321MuskegonMI5Grand Rapids
2022-10-05MarkHawkinsThe Church of Holy Apostles[email protected]8153854254McHenryIL44Rockford, IL
2022-10-05KristiSandschaferTri-Parish CYM[email protected]2179942754NewtonIL34Belleville
2022-10-05MaureenRotramelSt John XXIII[email protected]262-284-2102Port WashingtonWI38Milwaukee
2022-10-05SarahNedvedMary Our Lady of Peace[email protected]3099483004Coal ValleyIL16Peoria
2022-10-04JeffKiefferOur Lady of the Lake[email protected]217-586-5153MahometIL21Peoria, Illinois
2022-10-04JodieBlindauerSacred Heart of Jesus - McCartyville[email protected]419-236-1615AnnaOH22Cincinnati
2022-10-04StacieLammSt. Augustine[email protected]4198520229MinsterOH39Cincinnati
2022-10-02TrinitySemlerSaint Elizabeth Ann Seton[email protected]765-962-3902RichmondIN32Indianapolis, IN

Total quantity sold : 375

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
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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

Prince of Peace – Switched from Drexel Hill (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