Catholic Heart Work Camp (CHWC) - Saturday, June 16th (evening departure) through Saturday, June 23rd (evening return)
To complete the registration process you must 1. complete the registration form below 2.make a down payment of $150.00 (non-refundable) payable to Regis Middle School. Both steps must be completed to finalize the registration process and hold a spot for this service trip. The registration is first come first serve. The trip does fill up quickly and we are only able to take one charter bus for this trip. We will also be inquiring about interest in chaperones on this form. Indicating yes on that does NOT guarantee a spot on the trip.
Student First Name
Your answer
Student Last Name
Your answer
Student Current Grade Level
Student Regis e-mail address
Your answer
Student cell phone (if he/she has one):
Your answer
Parent Contact 1 First & Last Name
Your answer
Parent Contact 1 Primary Phone Number
Your answer
Parent Contact 2 First & Last Name
Your answer
Parent Contact 2 Primary Phone Number
Your answer
Parent E-mail Addresses (List all that apply)
Your answer
Student home parish
Students t-shirt size
Is a parent interested in being a chaperone?
If yes, please list name of parent interested:
Your answer
Students - Please answer the following
Why do you want to attend the Regis CHWC Mission Trip?
Your answer
What are your strengths that you can share on this mission?
Your answer
What are some of your weaknesses or areas of improvement?
Your answer
CHWC is a decidedly Catholic trip. In taking this trip, you commit to the following: (Please check "I agree" to indicate agreement.)
I will actively participate in large group activities
I will actively participate in Liturgies and Prayer
I will share out in small group settings
I will actively participate in prayer within our Regis group sessions
Student Electronic Signature:
Your answer
Parent Electronic Signature
Your answer
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