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About
Registration
Leadership Retreat
EMBOLDEN
Ski Trip
CHWC
WYD
Parishes
Bring Bold to Your Parish
FAQs
Testimonals
About
Registration
Leadership Retreat
EMBOLDEN
Ski Trip
CHWC
WYD
Parishes
Bring Bold to Your Parish
FAQs
Testimonals
CHWC - Immaculate Heart of Mary, Scotch Plains
Catholic Heart Workcamp Registration for Immaculate Heart of Mary, Scotch Plains
Hartford, CT
July 7 to July 12, 2019
Home Base: East Catholic High School
Registration Steps
1. Register here with BOLD.
2. Register with
Catholic Heart Work Camp
. When Registering with this link, select Church/Youth Group Location: Fiat Ventures - Warren, NJ.
3. Pay Online Now (You will be charged an additional processing fee of approximately 2.5%) or Mail in Payment of $350 ($90 non-refundable), and your forms Packet to your parish ASAP.
4. Start fundraising! You are required to raise a minimum of $250 for this trip. More information will be provided in your Confirmation Email once you register.
*Please make checks payable to Fiat Ventures if you do not pay online.
Once you submit this form, you will then receive a Confirmation email with further form and payment instructions, as well as Fundraising Instructions. If you do not receive that email within 24 hours of registration, please check your spam folder and then contact Allison Provinsal at Aprovinsal@Fiatventures.com
Registration Type
Select One
Pay Online $350+2.5% Fee ($90 non-refundable)
Pay By Check - $350 ($90 non-refundable)
Participant's Information
*First Name
*Required
*Last Name
*Required
*Address
*Required
Apartment If Applicable
*City
*Required
*State
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*Zip Code
*Required
*Email
Incorrect Email
*Required
*Home Phone (XXX-XXX-XXXX)
*Required
Cell Phone (XXX-XXX-XXXX)
*Grade
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
College
Adult
*Shirt Size
XS
S
M
L
XL
2XL
3XL
Parent's Information
First Name
Last Name
Email
Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)
Health Information
Health Insurance Company
Health Insurance Policy Number
*Known Health Issues
*Required
*Allergies and any medication you will be taking during the event
*Required
Additional Information
Parish
Select One
Immaculate Heart of Mary (Scotch Plains)
Immaculate Heart of Mary (Wayne)
Our Lady of Peace (New Providence)
Our Lady of Sorrows (Hamilton)
St Joseph's (East Rutherford)
St. Ann's (Parsippany)
St. Anne's (Fair Lawn)
St. Elizabeth's (Wyckoff)
St. Gregory's (Hamilton Square)
St. Luke's (Ho-Ho-kus)
St. Rose of Lima (Short Hills)
Will you be 18 or older by Jun 28, 2019?
Select One
No
Yes
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