Thank You for your interest in Norbs YM, St. Norbert’s Youth Ministry program.

Please complete the below registration for:

June 21 - June 23

Franciscan University of Steubenville
Steubenville, OH


per registrant


Total: $0.00
Future Commitment: $0.00
Youth Information
Parent Information
*please provide an email that is checked frequently
Insurance information
Emergency Contact Information
Additional Information
I am the parent or legal guardian of the above mentioned youth. By checking this box I am granting my permission for s/he to attend the Steubenville Youth Conference from
June 21-June 23, 2019.
My youth is 18 years of age or older.
By checking this box I am giving permission to St. Norbert Youth Ministry to communicate with the youth(s) registered above via email, text, phone or social media within the guidelines provided by the Office of Child and Youth Protection and Archdiocese of Philadelphia Safe Environment Training.*
I give permission for youth(s)’s photo to be used (without being identified) only for the parish bulletin or web pages of St. Norbert Parish.
*This authorization is necessary to communicate important information leading up to the conference, to communicate with participants while on the conference and to complete any follow up communications.
Payer Information
A receipt will be e-mailed to this address.
Your Payment Information


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