Steubenville Youth Conference Registration 2024
We are so excited to have you join us for the Steubenville Youth Conference June 21st-23rd, 2024! 
Please fill out the form below to register. Registration will be closed after May 5th. 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.
Sign in to Google to save your progress. Learn more
Participant First Name *
Participant Last Name *
Participant Cell Phone #: *
Participant Email Address: *
Parent Email Address: *
Last Grade Completed 2023-2024 School Year: *
Please select the option that best pertains to the participant. *
T-shirt Size: *
Emergency Contact Full Name: *
Emergency Contact Phone Number: *
How would you like to pay for the Steubenville Conference?

Price for participant who is a parishioner at St. Patrick: $150
Price for participant who is not a parishioner at St. Patrick: $400
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. Patrick of Yorkville. Report Abuse