Steubenville Registration Form

Student #1 Name
First Last
Student Gender*
Fall of 2024 Grade Level Student #1*
Student Email #1
Student Cell Phone #1
T-Shirt Size #1*
Parent Email*
Parent Name*
First Last
Parent Phone*
Add another Child
- Yes
- No
Payment Options*
Cost is $150.00 This price only covers transportation costs. The parish subsidizes 100% of the conference ticket price.
- Pay Online Now (You will be redirected after submission)
- Pay Online Later
Student #2
Student #2 Name
First Last
Student Gender*
Fall of 2024 Grade Level Student #2*
Student Email #2
Student Cell Phone #2
T-Shirt Size #2*
Add child #3
- Yes
- No
Student #3
Student #3 Name
First Last
Student Gender*
Fall of 2024 Grade Level Student #3*
Student Email #3
Student Cell Phone #3
T-Shirt Size #3*

Student #2