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
2023-02-19MelanieTerrySaint Henry Catholic Church, Nashville[email protected]6155798374White BluffTNVariation Name:  ST. CROIX (June 17-23 or 24) - With Extra Freeday
type:  With Extra Freeday
2Middle TN
2023-02-13StephenFromholdGwynedd Mercy Academy High School[email protected]2156468815Gwynedd ValleyPAVariation Name:  ST. CROIX (June 17-23 or 24) - With Extra Freeday
type:  With Extra Freeday
11Gwynedd Mercy Academy High School
2023-02-08HeatherSchweizerCATHEDRAL OF ST CATHERINE[email protected]610-442-0194AllentownPAVariation Name:  ST. CROIX (June 17-23 or 24) - With Extra Freeday
type:  With Extra Freeday
2023-01-02KathyNelsonOur Lady of the Lakes (MN)[email protected]6128653485BrainerdMNVariation Name:  ST. CROIX (June 17-23 or 24) - With Extra Freeday
type:  With Extra Freeday
3Duluth, MN
2022-10-27LynnPechineyAll Saints[email protected]7033932141ManassasVAVariation Name:  ST. CROIX (June 17-23 or 24) - With Extra Freeday
type:  With Extra Freeday
2022-10-05JoshuaMocekNotre Dame Academy[email protected]4197251250ToledoOHVariation Name:  ST. CROIX (June 17-23 or 24) - With Extra Freeday
type:  With Extra Freeday
2022-10-05ElliceBedelSt. Susanna Catholic Church[email protected]3174370543PlainfieldINVariation Name:  ST. CROIX (June 17-23 or 24) - With Extra Freeday
type:  With Extra Freeday
8Archdiocese of Indianapolis
2022-10-05StephanieHayesOur Lady of the Lake (TX)[email protected]972-961-9383RockwallTXVariation Name:  ST. CROIX (June 17-23 or 24) - W/O Extra Freeday
type:  W/O Extra Freeday

Total quantity sold : 76

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
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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 SpecifyLUTHERAN SOCIAL SERVICES: File Upload Entry IDSequence NumberEntry DateDelete Entry Link
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