Diocese of Sioux City

Thank you for your interest in attending the 2024 Quest Trip. (June 24-28)

Fun outdoor activities including hiking in the Black Hills of South Dakota
Join other men in challenging each other to go deeper in our faith and prayer lives
Travel with priests, seminarians, and young men from across the diocese

Please contact the Vocations Office if you have any questions or concerns: (712) 233-7523.

CONSENT FORM AND LIABILITY WAIVER

Please print these forms, complete and return to Michelle Steinbach. These forms are required for you to attend.

Quest Payment

Qty

Description

Amount

Total

Quest Trip Payment

$200.00

Final payment must be submitted by May 29th. A packing list and full travel schedule will be mailed out during the month of May.

Total: $200.00

Quest Trip Information

Name *

Cell Phone: *

Age: *

Age on June 24, 2024

Parish:

Current School: *

Grade in 2023-24 *

Parent Name: *

Parent Cell Phone: *

Parent Email Address: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

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

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

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: *