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
2022-12-14PattyMcCarthyHoly Family[email protected]8479073439InvernessIL18Chicago
2022-12-13NicoleWellingtonSt. Michael[email protected]6053611600Sioux FallsSD10Sioux Falls
2022-10-26SergioCortes LacayoThe Epiphany of the Lord Parish[email protected]814-336-1112MeadvillePA11Diocese of Erie
2022-10-26ChristinaHudsonSt. James[email protected]2243457214Arlington HeightsIL30Chicago
2022-10-21JackNovakSt. Lawrence[email protected]5867315072UticaMI17Detroit
2022-10-18CariHallSt. Simon Catholic Church[email protected]812-360-3755IndianapolisIN12Indianapolis
2022-10-10GabeHorrallSt. Francis Xavier[email protected]8128913684VincennesIN18Evansville
2022-10-05DebraSurminSt. Katharine Drexel[email protected]630-466-0303Sugar GroveIL10Rockford
2022-10-05MarkHawkinsThe Church of Holy Apostles[email protected]8153854254McHenryIL40Rockford, IL
2022-10-05KristiSandschaferTri-Parish CYM[email protected]2179942754NewtonIL33Belleville
2022-10-05MaureenRotramelSt John XXIII[email protected]262-284-2102Port WashingtonWI34Milwaukee
2022-10-05SarahNedvedMary Our Lady of Peace[email protected]3099483004Coal ValleyIL14Peoria
2022-10-04JeffKiefferOur Lady of the Lake[email protected]217-586-5153MahometIL28Peoria, Illinois
2022-10-04JodieBlindauerSacred Heart of Jesus - McCartyville[email protected]419-236-1615AnnaOH21Cincinnati
2022-10-04StacieLammSt. Augustine[email protected]4198520229MinsterOH37Cincinnati
2022-10-02KristaFalconeSaint Elizabeth Ann Seton[email protected]765-962-3902RichmondIN35Indianapolis, IN

Total quantity sold : 368

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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
William Reiss
Billy
St John XXIII
No
Male
Medium
Youth (under 18)
11th
Work project (painting, indoor clean up, maintenance, repair work, outdoor yard work)
Work at a social service center (homeless shelter, food distribution center)
1
1
1
2
1
1
This will be Billy’s 2nd year at Workcamp so he has experience from last year working on repairing homes
None
05/10/2007
Jennifer Reiss
Mom
(262) 787-8301
David Meuler
(262) 240-9744
06/01/2018
United Healthcare
997766609
902854
AGREE
AGREE
AGREE
Jennifer Reiss
AGREE
357
1
Michael Younger
St John XXIII
No
Male
Large
Adult (21 and older)
(262) 212-3202
Work project (painting, indoor clean up, maintenance, repair work, outdoor yard work)
Work project (painting, indoor clean up, maintenance, repair work, outdoor yard work)
5
2
3
5
4
4
Hands-on Electrical Engineer. Deep experience in carpentry, plumbing, HVAC.
Long-term site coach with Group WC’s.
None
Troubleshooter: Assist multiple work teams during the week
01/15/1962
Machele Younger
Spouse
(262) 370-0775
Healthy
None
Mark D. Shewczyk
(262) 376-1934
01/15/2019
United Healthcare
943120359
716850
AGREE
AGREE
AGREE
AGREE
No
285
2
Sheri Hanson
St John XXIII
No
Female
Medium
Adult (21 and older)
(262) 825-6536
Work at a social service center (homeless shelter, food distribution center)
Work with children at day care centers for low-income families
2
1
1
3
1
1
I have asthma and use an inhaler, but it would help if I wasn't around smokers, lots of dust and other allergens.
Associate Staff: Stay at home base and work behind the scenes with the HEART staff. 
04/26/1976
Robert Wheeler
Husband
(262) 825-6591
Asthma
Inhaler
Allegy medicine (over the counter, Allertec)
Aurora Cedar Creek
(262) 375-3700
10/16/2017
UMR
13047099
76-040178
AGREE
AGREE
AGREE
AGREE
No
272
3
Maureen Rotramel
St John XXIII
Yes
15
Female
3XL
Adult (21 and older)
(414) 324-9131
Work at a social service center (homeless shelter, food distribution center)
Work with children at day care centers for low-income families
2
1
1
3
1
1
I have been on enough trips that I am fine not being with a work group if you need help in other areas...
Cannot do stairs or ladders because of bad knees
Associate Staff: Stay at home base and work behind the scenes with the HEART staff. 
12/19/1969
John Rotramel
Husband
(414) 801-7050
Sleep apnea, arthritis in knees, migraines, seasonal allergies
Lipitor - 10mg/day for cholesterol
Quilipta - 60mg/day for migraines
Xyzal daily for seasonal allergies
Ibuprofen as needed
Dr. Jeffrey Reichel
(414) 771-8228
06/12/2017
United Health Care
967730746
712332
AGREE
AGREE
AGREE
AGREE
No
245
4
Trinity Semler
Saint Elizabeth Ann Seton
No
Female
Medium
Adult (21 and older)
(765) 238-5563
Work with children at day care centers for low-income families
Work project (painting, indoor clean up, maintenance, repair work, outdoor yard work)
2
1
1
3
1
1
05/22/2000
Chad Semler
Father
(630) 450-7477
Allergy: Penicillin
Bonnie Allen
(765) 935-8581
08/10/2020
Blue Cross Blue Shield
ITS
ITSM6134955702
AGREE
AGREE
AGREE
AGREE
No
237
5
James Miller
Jim
Saint Elizabeth Ann Seton
Yes
9
Male
XL
Adult (21 and older)
(765) 914-4466
Work project (painting, indoor clean up, maintenance, repair work, outdoor yard work)
Work at a social service center (homeless shelter, food distribution center)
2
1
2
4
1
1
As a Deacon, I am willing to be assigned any duties that will help the Camp be a success.
None
06/08/1954
Evelyn Miller
Wife
(765) 914-4465
None
Aspirin 81mg
Atorvastatin 20mg
Amlodipine Besylate 5mg
Dr. Jennifer Olsen
(765) 935-4088
11/11/1964
Medicare
4DA9-MV0-HY40
N/A
AGREE
AGREE
AGREE
AGREE
Yes
Deacon
229
6