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 jstroud@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)
*Gender
*Birthdate (mm/dd/yyyy)
*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

Emergency Contact Information

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

Additional Information

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

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