Catholic Heart Work Camp 2019 Registration - Richmond

Richmond, VA
June 23 - June 28, 2019
Home Base: St. Bridget Catholic School, Richmond, VA


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


Participant's Information

*First Name
*Last Name
*Address
Apartment If Applicable
*City
*State
*Zip Code
*Email
*Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)
*Grade
*Shirt Size

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
*Allergies and any medication you will be taking during the event

Additional Information

Parish
Will you be 18 or older by Jun 28, 2019?

Comments

Please enter any comments here.


Please hit button only once:

973.500.3300
P.O Box 4292, Warren, NJ 07059

Top