Diocese of Sioux City

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

PARISH GROUP REGISTRATION

Thank you for registering for the Called youth conference We look forward to seeing you on Sunday, November 1st at St. Joseph in Granville IA!

Registration

Qty

Description

Amount

Total

Student(s)

$20.00

---

Adult Chaperone(s)

$10.00

---

Total: $0.00

Group leaders are responsible for turning in the completed registration spreadsheet to Ashley Knight. Registration documentation, liability and media consent, must be electronically sent to Ashley as well, or turned in the day of the event. ashleyk@scdiocese.org

Student & Adult Registrant Information

Students in 7-8th grade:

Please indicate number of students registered above in 7-8th grade

Students in 9-12th grade:

Please indicate number of students registered above in 9-12th grade

Adult Chaperones:

Please indicate number of adults chaperones registered above. Note: 1 adult for every 8 students is required.

Group Leader Information

Group Leader Name: *

(leader attending the event)

Phone Number:

Email:

I have read:

You, as the group leader, are responsible for collecting a liability waiver from each participant attending, youth and adult. Liability waivers need to be turned in at check-in on the day of the event. The parish group leader spreadsheet, with detailed information, must be turned in.

Parish Leader 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: *