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Adult Summer Mission Trip

- Thank you for your interest in our
  2026 Summer Mission Trip
  Saint Anne partners with Catholic Heart Workcamp to offer a week-long summer mission trip for incoming high school freshman through current college freshmen. The mission is to revitalize communities and beautify homes for the elderly, disabled and those who cannot afford needed repairs. This experience will empower participants to live as disciples of Christ through serving others and foster the spiritual growth of each participant through the sacraments, Catholic faith sharing and prayer. Note: During the week you may/will be paired with teens|adults from other parishes and driven to or drive to other site locations.
  
  Date: June 14-19, 2026
  Home Base Location: University of Saint Francis-Fort Wayne, IN
  2701 Spring Street, Fort Wayne, IN 46808
  
  There are three components that are required to participate in our 2026 Summer Mission Trip:
  1) Saint Anne CC Youth & Young Adult Participant Information and Agreement; (Complete this form)
  2) Catholic Heart Workcamp Registration and Waiver - Click Here (Select "Fort Wayne, IN (University of St Francis)" for the camp and "Saint Anne - Barrington, IL" for the group.
  3) Email a copy of your drivers license and auto insurance card, both showing current status to [email protected]
  
  Questions? Contact Amy Hodson at [email protected] or 847-620-3073 for more information.
- Required Read:
  Archdiocese of Chicago
  Permission & Agreement
- Registration Form:
  
  This form is not accepting responses at this time.
  
  ADULT PARTICIPANT INFORMATION:
  
  Adult First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Adult Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Adult Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Adult Cell Number (include dashes) REQUIRED Please fill out this field. Please enter valid data.
  
  Adult Email Address REQUIRED Please fill out this field. Please enter valid data.
  
  Adult Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Select One REQUIRED Please fill out this field.
  
  Select Your Tee Shirt Size REQUIRED Please fill out this field.
  
  Adult's Home Parish|Church REQUIRED Please fill out this field. Please enter valid data.
  
  EMERGENCY CONTACT INFORMATION
  
  Emergency Contact First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number (include dashes) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Adult Participant: - Example: Spouse, adult child, neighbor etc. REQUIRED Please fill out this field. Please enter valid data.
  
  ADULT PARTICIPANT HEALTH INFORMATION:
  
  Adult Participant Allergies and or Dietary Restrictions: NA or None if not applicable REQUIRED Please fill out this field. Please enter valid data.
  
  Adult Participant Current Medication[s]: NA or None if not applicable REQUIRED Please fill out this field. Please enter valid data.
  
  Any Additional Information You'd Like Us to Know About You: NA or None if not applicable REQUIRED Please fill out this field. Please enter valid data.
  
  Name of Adult Participant Physician:
  
  Physician First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Physician Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Physician's Phone Number (include dashes) REQUIRED Please fill out this field. Please enter valid data.
  
  Medical Insurance Policy in the Name Of:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Medical Insurance Policy Number REQUIRED Please fill out this field. Please enter valid data.
  
  Medical Insurance I.D. Number REQUIRED Please fill out this field. Please enter valid data.
  
  PERMISSIONS:
  
  Retreat Code of Conduct:
  Rules of Behavior for Participant:
  Attend all scheduled activities
  Will not smoke, vape or engage in the use of alcohol or drugs or have them in my possession.
  Will treat all staff, chaperones and fellow participants with respect at all times
  Will treat the facilities and grounds with respect at all times.
  Will abide by any and all additional Rules expressed by the chaperones or facility staff.
  Consequences of Not Abiding by the Rules:
  For behavioral infractions or breaking of rules, warning will be given and the participant will have the opportunity to change the problematic behavior. If the problematic behavior continues, the participant will be asked leave immediately.
  If the participant uses alcohol or drugs during the event, even if they are not the one to bring them, they will be asked to leave immediately.
  
  I Agree - Code of Conduct REQUIRED Adult Participant: Yes - I Agree - Code of Conduct Please fill out this field.
  
  As shown above, I have read and understand the Archdiocese of Chicago Permission Form and Participant Agreement, and I agree to abide by it. REQUIRED Adult Participant: Yes - I Agree - Archdiocese of Chicago Permission Form and Participant Agreement Please fill out this field.
  
  I understand I will be driving/transporting others including minors to and from University Of Saint Francis-Fort Wayne-2701 Spring Street, Fort Wayne, IN 46808 and Saint Anne CC, 120 Ela St, Barrington, IL 60010 via Enterprise Rental Vans. As well as making several stops along the way for things such as gas, food, and extra activities.
  
  Adult Participant; I Agree - Transportation REQUIRED Adult Participant: Yes - I Agree Transportation Please fill out this field.
  
  I, adult participant, give permission to receive email and text communication from Saint Anne Catholic Community, Barrington, IL Youth and Young Adult Ministry REQUIRED Adult Participant: Yes - I Agree - Permission for adult participant to receive email and text communication Please fill out this field.
  
  Digital Signatures:
  
  Adult Participant: Digital Signature (Please type first and last name) REQUIRED Please fill out this field. Please enter valid data.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Total:
  
  Submit
  
  Proceed to Payment

Adult Summer Mission Trip

Thank you for your interest in our

2026 Summer Mission Trip

Date: June 14-19, 2026

Home Base Location: University of Saint Francis-Fort Wayne, IN

2701 Spring Street, Fort Wayne, IN 46808