Catholic Heart Work Camp 2022 Bridgeport, CT

Bridgeport, CT
June 26- July 1, 2022

Bridgeport  is open to those entering the 9th grade in the fall of 2022 and older.  Cost is $375.00 registration fee plus $275.00 in student fundraising.  Please click here for student fundraising log.

 If you will be 18 or older by June 26, 2022, you are required to attend a Protecting God's Children course and undergo a background check through the diocese in order to attend the trip. Reach out to your Youth Minister for more information.

Once you submit this form, you will then receive a confirmation email with further instructions. If you do not receive that email within 24 hours of registration, please check your spam folder and then contact Jean Stroud at

Registration Type

Participant's Information

*First Name
*Last Name
Apartment If Applicable
*Zip Code
*Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)
*Birthdate (mm/dd/yyyy)
*Shirt Size

Parent's Information

First Name
Last Name
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

Emergency Contact Information

*First and Last Name
*Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)

Additional Information

Will you be 18 or older by Jun 27, 2021?


Please enter any comments here.

Please hit button only once:

P.O Box 4292, Warren, NJ 07059