Steubenville Youth Conference Registration 2023

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We are so excited to have you join us for the Steubenville Youth Conference June 23-25, 2023! Please fill out the form below to register. More details will be given as the event gets closer.

By clicking the "Submit" button below, I grant St. Patrick Parish my permission to use photographs and video images of my child/minor for any legal use including print publicity, web content, program promotion, the St. Patrick Newsletter, Live Stream and the St. Patrick You Tube Channel. Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Participant First Name *

Participant Last Name *

Participant Cell Phone #: *

Participant Email Address: *

Last Grade Completed 2022-2023 School Year: *

T-shirt Size: *

Emergency Contact Full Name: *

Emergency Contact Phone Number: *

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