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.

SAINT JAMES PARTICIPANTS NEED TO REGISTER ON A SEPARATE FORM LINKED HERE. Please contact Brian and Karen for questions at Stjames@BOLDym.com

Registration Steps
1. Register below with BOLD.
2. Pay online or mail in payment to Fiat of $385 by April 15th to hold your spot ($100 non-refundable after April 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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