Group Leader Registration
Participant (youth & chaperone) Registration
Prefix *
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Secondary Email Address *
Your answer
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 and that I am an adult aged 21 or older. *
I understand that all adult chaperones must be at least 21 years of age. *
I understand that I must have at least two adult chaperones per gender (unless I am bringing all the same gender youth); or that I will make arrangements with another group leader to assist with my youth during Men/Women Sessions. *
Spots needed *
The total number of youth and adults (including the Group Leader & Chaperones). ***DO NOT INCLUDE religious.
Your answer
Is this your first times as Group Leader at Steubenville On The Bayou? *
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