Steubenville On The Bayou-June 14-16, 2019
GROUP LEADER REGISTRATION (for registering your group, not individuals). Deposits for early registrations are due Jan. 1st.
Email address *
Prefix *
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Main Telephone Number (where we can reach YOU) *
Your answer
Cell Phone Number *
Your answer
Preferred method of contact *
Church Parish/Group Name *
Your answer
(Arch) Diocese *
Mailing Address *
Your answer
City *
Your answer
State *
I affirm that I am the Group's Leader, will be attending the conference weekend with the group, that I am an adult aged 21 or older and that my name can be on the participant's liability forms as the Group Leader. *
I understand that as the Group Leader I am the one that will be in communication with the Steubenville On The Bayou staff. *
I understand that all adult chaperones must be at least 21 years of age. *
I understand that I need a minimum of one other adult with me for up to the first 8 kids. I also understand that I will need to make arrangements with another group leader to assist with my youth during Men/Women Sessions if I don't have a chaperone of the opposite gender. *
Spots needed *
The total number of youth and adults (including the Group Leader & Chaperones). Remember: (1) You can only drop up to 5 spots before the Drop deadline of May 15th, without penalties and (2) there is a $20 late fee for those spots added after May 1st. I also understand that the deposits are nonrefundable.
Your answer
Will you be paying by Church check or via credit card through Paypal (if so, there will be Paypal fees added)? *
Is this your first times as Group Leader at Steubenville On The Bayou? *
A copy of your responses will be emailed to the address you provided.
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