Diocese of Lake Charles

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

The Office of Youth Ministry is currently preparing for three events, the Rome Senior Experience, Christian Leadership Institute (CLI) and the National Catholic Youth Conference (NCYC) NCYC. Please make payments below. Be sure to choose the correct option and read everything very carefully. Email Ms. T at youth.ministry@lcdiocese.org if you have any questions

Note: More payment information and options coming for NCYC.

Core Team Retreat

Description

Amount

Total

Core Team Retreat Payment Other Amount

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Middle School Leadership Camp

Qty

Description

Amount

Total

Middle School Leadership Camp Deposit

$150.00

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Middle School Leadership Camp Remainder of Balance

$200.00

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Middle School Leadership Camp Other Amount

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Christian Leadership Institute (CLI)

Qty

Description

Amount

Total

CLI Deposit

$150.00

---

(due by May 1st)

CLI Payments

$400.00

---

(remainder after deposit)

CLI Payment Other Amount

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Rome

Qty

Description

Amount

Total

Rome Deposit

$250.00

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Per Person

Rome Payment Other Amount

---

Total: $0.00

Participant Information

Name of Participant: *

First and Last

Parent Name: *

Address: *

City: *

State: *

Zip Code: *

Contact Phone Number: *

Email: *

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: *

Telephone:

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *