Maternity of the Blessed Virgin Mary Catholic Church

Camp Mosh Volunteer Form


Maternity Outreach Service for Humanity 

July 18 - July 24th


$40 Early Bird Registration Fee for Youth Participants - (one time fee) before June 1st (click here to pay)

$50.00 for all Youth Participants (June 1st) - one time fee (click here to pay)

Adults Participants are Free

Pay online or Or make check payable to MBVM Camp MOSH and mail to:  MBVM Church, 308 E. Marsile St., Bourbonnais, IL  60914

Adults and Youth Register Below:

(one enrollment form per participant)

1. Registration and Authorization for Camp MOSH

Adult and Youth Volunteers, please complete this section:

2. If Participant is 18 and older, please complete this section also:

3. Complete this section if Participant is UNDER the age of 18.

Participant Fee can be paid online at or by making check payable to Maternity BVM Catholic Church MOSH, 308 E. Marsile St., Bourbonnais, IL 60914.

3. Insurance Information (both Adults and Youth MUST complete this section:

Authorizations (both Adult & Youth Pariticipants)

Do not forget to click on "Submit" below



Should you have any questions please contact

Cassandra McCullough,Youth Minister Office (815) 933-8285 ext. 335 

or email [email protected]



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