Catholic Heart Work Camp 2023 Registration SJBR

Who: All High School Teens (Current 8th Graders - Graduating Seniors) 
What: Summer Mission Trip with Catholic Heart Workcamp
When: Sunday, June 25th - Friday, June 30th 
Where: Drexel Hill, PA and local service sites
Home Base: 
Monsignor Bonner and Archbishop Prendergast High School,  Drexel Hill, PA
Registration Cost: $375. In addition to the registration fee, all students must fundraise a minimum of $275 toward the trip and participate in one Parish fundraiser on Sunday, June 11th.
 
Once you submit this form, you will receive a Confirmation email with payment information and additional steps to the registration process. If you do not receive a confirmation email, please check your spam folder and reach out to Brian Flanagan at StJames@boldym.com. 


Payment 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)
*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
Grade: (as of Fall 2023)

Comments

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973.500.3300
P.O Box 4292, Warren, NJ 07059

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