Steubenville 2021

Registration

Who : 9th-12th Graders | Where : Irving Convention Center Irvng, TX

When :  JUNE 25- 27, 2021 | Cost : $325                                                                   

For more info. on Steubenville Restored  Click Here                               

To request a Scholarship contact Fr. Alfredo Villareal: pastor@stphilipcc.com  

In the request should be:

  •  Name
  •  Reason for needing scholarship
  •  How much $ you are requesting for scholarship whether full or partial.                 

We do ask that you pay what you can :)

Registrant
Teen Name
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Parent Name
  •  
Teen Phone Number --
Address
Parent/ Guardian Name
  •  
Parent/Guardian Number --
Emergency Contact
Name
  •  
Phone --
Medications/Disabilities
Please list any drug or food allergies that your teen may have, as well as, medications that your teen may need to take.
Liability Waver
I agree on behalf of myself, my heirs, successors, personal representatives and assign to protect, indemnify, save, and hold harmless the Diocese of Corpus Christi, St. Philip the Apostle Catholic Church and their officers, directors, agent,s employees, or representatives associated with the Steubenville from all damages, claims, suits, expenses and payment on account of or resulting from conditions stated on or resulting from any such injury, death, or damage to property, including resulting from the negligence of the Diocese of Corpus Christi, and parish, and or their officers, directors, and employees arising from or in connection with my attending Steubenville from June 25- June 27, 2021.
List (Single Choice)
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Photography Consent
I agree to being photographed on this retreat. It is okay to use photos of me alone and in a group setting for social media, presentations, future marketing, and/or just for fun from June 25-27, 2021. If you check 'I do NOT agree' in the box below, please note that YOU are in charge of making sure you are not being photographed.
List (Multiple Choice)
Payment
Shopping Basket The total cost of $325, which includes a deposit of $125 and two payments of $100. Registration will be available online as well as in the parish office.  
Selection Extended

Steubenville Deposit | $125.00

1st Payment (Due: 5/30) | $100.00

2nd Payment (Due: 6/15) | $100.00

OR Pay in Full | $325.00

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