Steubenville Youth Conference NYC Registration Form – July 21 - 23, 2017

St. Rose of Lima SYG Newtown, CT — for students currently in Grades 8-12

Timeline for Registration and Paperwork:

January 18th –Registration Opens: Pay Deposit to Reserve Spots and turn in registration form

May 1st – Deadline for Dropping Spots, Final Balance Due and liability forms for the Conference

Safe Environment Form if 18

May 1st – Deadline for Storm Cards paperwork

July 1st – Remaining Paperwork Due

Registration Information & Cancellation Policies

We will be adhering to the below registration and cancellation policies to allow as many people as possible the opportunity to experience Steubenville NYC. Please be sure to read all the information thoroughly.

Pricing/Payment Info:Summary of Costs

o Early Bird Cost: $280

o Cost after May 1: $300

oDeposit Amount: $50

Deadline for Payment of Final Balance (to receive Early Bird rate): May 1st

Checks should be made out to St. Rose Church (note: Steubenville 2017 on check) and mailed to:

St. Rose of Lima parish

ATTN: Steubenville NYC

46 Church Hill Rd.

Newtown, CT 06470

Final balance payments must be received in the offices by May 1st, 2017 in order to receive the early bird pricing. Afterthat date, the increased pricing will be applied.

Cancellation Policies

• Deposits are non-refundable. If cancelled, the $50 deposit will be forfeited, but the remaining balance will not be owed if spots are dropped before May 1st.

• Families will be held responsible for payment in full for all spots not dropped by May 1st.

Important Information

• Youth participants must be age 18 or younger and incoming freshman through just graduated seniors.

• Any student who turns 18 prior to the Conference must complete a Virtus (Protecting God’s Children) training class and background check prior to May 1st or immediately upon turning 18 prior to the conference. Class schedule can be found on the church website.

  • Financial Assistance and Fundraising:
  • Requests for financial assistance should be addressed to Jenna Donovan who will submit to Msgr. Weiss for review.
  • All participants are expected to participate in our fundraising efforts. These efforts will be aimed at registration for adult chaperones to attend as well as to provide assistance to families who have been approved for assistance.

KEEP THIS PAPER FOR YOUR RECORDS FOR INFORMATION ON FURTHER INSTRUCTIONS!

Fill out and return the Conference Commitment Form to reserve your spot today!

This form does not complete the full registration process and all paperwork and online assignments will be sent via email for completion.

2017 Steubenville NYC Youth Conference Commitment Form

Please turn this form in ASAP to reserve your spot today!

Participant’s Name:______

Address:______

Student email:______

Parent email: ______

Grade at time of Conference:______

Age at time of Conference:______

Birth Date: ______

Male____ Female___

Circle the # of times you have been to a Steubenville Conference before: 0 1 2 3 4

Note: This form is to reserve a teen spot to attend the Steubenville NYC Youth Conference with St. Rose of Lima Parish Youth Ministry, Newtown, CT. Any and all questions should be emailed to:

Jenna Donovan:

COMMITMENT STATEMENT

I,______, parent/legal guardian of ______, do hereby attest thatboth myself and my child have read all of the information concerning registration for and participation in the SteubenvilleYouth Conference on July 21 - 23, 2017 “Elevate” in Queens, NY(St. John’s University) with the St. Rose of Lima Parish Senior Youth Group Newtown, CT. I understand that in order for my child to attend this conference, we must be committed to paying all fees on time and attending all mandatory meetings and processing Conference paperwork and Storm Card when made available. I also understand that the deposit is nonrefundable and that any additional fees paid will become nonrefundable after May 1st, 2017.

______

Signature of Parent/Legal Guardian (required for registration)