Registration - 2026 Steubenville East Payment

Registration for 2026 Steubenville East Payment

Contact Rebecca at youthdisciples@saintphilip.com with any questions.
Youth First Name
Youth Last Name
MaleFemale
Youth Email
example@example.com
Youth Cell Phone #
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
If you are not a St. Philip Parish, which church do you belong to?
8th9th10th11th12th
T-shirt size
Allergies/Medical Concerns
Parent First Name
Parent Last Name
Parent Email
example@example.com
Parent Cell Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Additional Emergency Contact

First NameLast Name
Additional Emergency Contact Cell Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Roommate Requests. (Note: We will do our best to accommodate requests, but they cannot be guaranteed)
Liability/Indemnity

I would like my child to participate in this youth ministry sponsored activity. As parent or legal guardian, I agree to defend and fully indemnify the Parish of Saint Philip, Life Teen and Franciscan University of Steubenville against any claim which may result from any personal actions taken by my child/ward. As parent or legal guardian, I further agree to fully indemnify and hold harmless the Parish of Saint Philip, Life Teen and Franciscan University of Steubenville which took place during the above-identified activity, which is related to that activity, if that claim or cause of action is brought by my child or their parent/legal guardian.

I hereby consent to participation by my above-named child in the activity described above. I certify that I have an understanding of this agreement and the activity described above that my child will be participating in. I further understand that I had the opportunity to fully discuss the above-named activity and this agreement with a representative of this agency to clarify any concerns or questions about the activity or this agreement that I may have had.
Yes, I, the parent, agree to the above for my child to participate.Yes, I am 18+ and agree to the above for myself.

My Products

Payment in Full

$550.00 Quantity

$250 Deposit - with forthcoming additional payments

$250 Deposit with additional payments of $100 on March 1, April 1 and May 1

$250.00 Quantity

$250 Deposit - with forthcoming financial aid application

Completed Financial Aid Form submitted by January 19

$250.00 Quantity

Total

$0.00

Credit Card

Email*
example@example.com
Should be Empty:

Registration for 2026 Steubenville East Payment

Credit Card