subject_line
Steubenville Registration June 25-27
Thank you for your interest in the retreat opportunities. We are excited to bring these opportunities to the young people of our parish!
Please Select One:
*
Steubenville Lonestar Full Amount ($200)
Steubenville Lonestar Deposit ($100)
Steubenville Lonestar In Office Registration
Credit card payment will be expected for the amount you have selected at the end of the registration process.
Family Name
*
Student First Name
*
Student Last Name
*
Grade
*
Shirt Size
*
Date of Birth (Month/Date/Year)
*
Student Cell Phone
Address 1
*
City, State
*
Postal Code
*
Mother's Name
Father's Name
Guardian Phone
*
Alternative Phone Number
Guardian Email Address
*
The Youth Ministry office is willing to work out payment plans with families. Weekly, every two weeks, once a month, whatever works best.
Powered by
Report abuse