Steubenville 2023 Registration
Please use this form to register your teen for Steubenville Lone Star 2023. Registration will close on Friday, March 3. 
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Teen's First Name *
Teen's Last Name *
Gender *
Date of Birth *
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/
DD
/
YYYY
T-shirt size *
Is your teen currently enrolled in the St. Andrew Youth Group? *
Grade Entering *
Graduation Year *
Please list 1 other teen to room with. I will do my best to have them room together but can not promise it will be possible.
Possible Major
Do you have any dietary restrictions or food allergies? *
Required
Address
City
State
Zip Code
Home Phone
Teen's Phone Number (for GroupMe) *
Teen's Email Address *
Number of Steubenville Conferences Attended *
Title of Primary Parent/Guardian
Primary Parent/Guardian First Name *
Primary Parent/Guardian Last Name *
Relationship of Primary Parent/Guardian to Participant
Primary Parent/Guardian Home Phone
Primary Parent/Guardian Cell Phone *
Primary Parent/Guardian Email Address *
Title of Secondary Parent/Guardian
Secondary Parent/Guardian First Name
Secondary Parent/Guardian Last Name
Relationship of Secondary Parent/Guardian to Participant
Secondary Parent/Guardian Home Phone
Secondary Parent/Guardian Cell Phone
Secondary Parent/Guardian Email Address
There is a $60 non-refundable deposit due by March 3 to hold your teen's spot. The link to pay your deposit will appear on the next page after you submit your registration. *
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