Catholic Heart Work Camp 2021 - Dover, DE

Dover, DE
June 27 - July 2, 2021

Dover is open to those entering the 9th grade in the fall of 2021 and older.

Registration Steps
1. Register below with BOLD.
2. Pay online or mail in payment to Fiat of $385 by March 15th to hold your spot ($100 non-refundable after March 15th).
*Please note the full cost of the trip will be $635 between the deposit and fundraising minimum of $250. Final fundraising money will be due by June 1st.
3. Mail in your forms packet to Fiat Ventures (P.O. Box 4292, Warren, NJ 07059).
*Please note: you need several forms to be notarized and you need to include a copy of the front and back of your insurance card.
4. Start fundraising! Fundraising is a required part of attending this mission trip, so please get started on this as soon as possible.
*Please make all checks payable to Fiat Ventures if you do not pay online. 

If you will be 18 or older by June 26, 2021, 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 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)
*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?

Comments

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908.500.3300
P.O Box 4292, Warren, NJ 07059

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