Destination:
San Pedro Sula, Honduras
Home ::
2006 schedule
Click
Here for Online Registration Form (You
must be an approved
Team Member before
Registering)
or
~~DOWNLOAD
MEMBERSHIP FORMS
HERE~~
IF the chart below shows
that a
CV, and or copy of
your medical
license is needed,
please fax or email
them to
the office right
away. We need
these to secure your
working permits in
country. See
below for fax
number.
|
This is Healing the Children's
2nd trip to San Pedro Sula
|
| Dates: May
6 - 13, 2006 |
| Sponsor: Ruth
Paz Foundation |
| UPDATES: If you have not sent in your
paperwork please do so immediately.
Important: Please limit
your personal luggage to one bag!
|
| Site Contact Info.: |
| Administrative Contact: Jessica
Lindoerfer
HTCNE in Office Admin: Dana
Buffin
office phone: 860-355-1828 ext 29 (Dana) ext. 23 (Lisa) fax
860-350-6634 (HTCNE Office Fax)
|
|
Participants: |
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Surgery |
License to Practice |
CV |
Credit Card Auth |
Clinical Specialty Form |
Health Form |
Release of Liability |
Passport Info |
2006 Dues |
Air Fare
|
|
Grant
Thomson |
in
|
in
|
in
|
in |
in |
in |
in |
cc |
cc
|
|
Pradeep Mohan |
NA
|
in
|
in
|
in
|
in
|
in
|
in
|
cc
|
cc
|
|
John Safanda |
in
|
in
|
in
|
in |
in |
in |
in |
cc |
cc
|
|
Devinder Singh |
NA
|
in
|
in
|
in |
in |
in |
in |
cc |
cc
|
|
Kevin Tomany
|
in
|
in
|
NA
|
in
|
in
|
in
|
in
|
in
|
in
|
|
Steven
Williams
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
cc
|
cc |
|
Pediatrics |
License to Practice |
CV |
credit card auth |
Clinicall Specialty Form |
Health Form |
Release of Liability |
Passport Info |
2006 Dues |
Air Fare
|
|
Robert
Golenbock |
in |
in |
in |
in |
in |
in |
in |
cc |
in |
|
Anesthesiology |
License to Practice |
CV |
credit card auth |
Clinical Specialty Form |
Health Form |
Release of Liability |
Passport Info |
2006 Dues |
Air Fare
|
|
Giancarlo
Checa
|
in
|
in
|
need
|
in
|
in
|
in
|
in
|
need
|
need
|
|
Marcia
Bergen
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
cc
|
air miles
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|
Marcia Gnagey |
in
|
in
|
in
|
in
|
in
|
in
|
in
|
cc
|
cc
|
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Richard Raker
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
cc
|
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Nursing |
License to Practice |
CV |
credit card auth |
Clinical Specialty Form |
Health Form |
Release of Liability |
Passport Info |
2006 Dues |
Air Fare
|
|
Vincent Barry |
in |
in |
NA |
in |
in |
in |
in |
in |
in
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|
Brenda Hunt |
in |
in |
in |
in |
in |
in |
in |
in |
in
|
|
Karyn Jozokos
|
in
|
in
|
in |
in
|
in |
in |
in
|
in |
in
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Linda Nugent
|
in
|
in
|
in |
in
|
in |
in |
in
|
cc |
cc
|
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John Tangredi |
in
|
in
|
in
|
in
|
in
|
in
|
in
|
in
|
in
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Jennie Amaturo, Scrub Tech |
n/a
|
n/a
|
n/a
|
in
|
in
|
in
|
in
|
in
|
in
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Karla
Papenfuss, PT |
in
|
in
|
in |
in
|
in |
in |
in
|
cc |
in |
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Administration |
License to Practice |
CV |
credit card auth |
Clinical Specialty Form |
Health Form |
Release of Liability |
Passport Info |
2006 Dues |
Air Fare
|
|
Jessica
Lindoerfer |
NA |
NA |
in |
NA |
in |
in |
in |
in |
cc
|
|
Erika Papenfuss, Assistant |
NA |
NA |
NA |
NA |
in |
in plus Waiver |
in |
NA |
in |
|
Nancy Scherl, Photographer |
NA |
NA |
in |
NA |
in |
in |
in |
in |
NA
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Flight
Itinerary :
San Francisco: Sat
May 6 AA flt 416 7:20a to Miami 3:35p; Miami
AA
flt 949 4:54p arrives SPS 5:13p
Return:SPS : Sat May 13 AA flt 944 7:05a to Miami
11:21a; Miami AA flt 1539 2:50p
arrives San Francisco 5:51p
Hartford : Sat May 6 AA
flt 2127 6:02a to Miami 9:00a; Miami AA flt
94112:59p
arrives SPS 1:16p
Return: SPS : Sun May 14 AA flt 942
2:21p to Mimai 6:36p; Miami AA flt 1964 8:38p
arrives Hartford 11:37p
Denver : Sat May 6 CO flt 3151 1:55a to Houston
TX 5:13a; Houston AA flt 762 9:20a
to SPS 11:10a
Return: Sat May 13 CO flt 763 11:55a to Houston
TX 3:45p; Houston CO flt 399 5:50p
to Denver 7:26p
Boston:
Please
note: If for any
reason you are
unable to travel it
is important that
you contact the Team
Leader or Admin
right away so that
your spot can be
filled. If you
get sick and are
unable to travel at
the last minute,
please also contact
the airline and
notify them that you
will not be using
your ticket.
This will allow us
to negotiate (with a
doctors note) a
replacement voucher
for a future
trip. If you
do not notify them
before the flight
leaves the ticket
will be lost.
Fax Forms to HTC at 860-350-6634
Mail Forms to HTC at P.O. Box 129, New Milford, CT 06776
E-mail to mlaw@htcne.org
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