Diocese of Lake Charles

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

DYC is the annual youth conference for high school teens and 8th graders hosted by the Office of Youth and Young Adult Ministry. It is a 3-day conference that includes live music, great skits, keynotes, teen witnesses, breakout sessions, Mass with our Bishop, Eucharistic Adoration & Benediction, confession, cajun dancing, a talent show, games, and lots of fun and great food. Each day begins and ends with prayer and there is a prayer chapel with the blessed sacrament all weekend.

Qty

Description

Amount

Total

Deposit

$100.00

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Remaining Registration Amount

$125.00

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Total Registration

$225.00

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Lodging (Dorm Room)

$75.00

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Lodging (Cabin/Motel Room)

$110.00

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(space here is limited and for adults only)

Other Amount

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Final Payment: You may return to the site and pay the balance, if you wish.

Total: $0.00

Participant Information

Participant #1: *

Participant #2:

Participant #3:

Church Parish: *

Address: *

City: *

State: *

Zip Code: *

Telephone: *

Email: *

Payer Information

First Name: *

Last Name: *

Company Name:

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *