Group Registration - Steubenville STL Mid-America 2016

This page is for youth leader registration only. Individuals may register by clicking on the registration link provided by their youth leader.

Name*

First Last

Group Name*

(This is how your group will be listed on your name tags.)

Diocese*

Address*

Street Address City State ZIP Code

Office Phone

Cell Phone*

(This will be the emergency contact number for your group during the conference.)

Email*

Ticket Availability

Week 1 tickets are available.

Week 2 tickets are available.

Week 1 dorms are currently unavailable. Please consider off-campus option.

Week 2 dorms are currently unavailable. Please consider off-campus option.

Event Selection*

Housing Choice*

Number of Teen Participants*

Number of Chaperones*

Number of Young Adult Leaders*

Number of Priests*

Total Week 1 Attendees

Attendees staying in dorms

Week 1 Attendees minus Priests

Total Cost (On-Campus)

Total Cost (Hotel)

Housing Choice*

Number of Teen Participants*

Number of Chaperones*

Number of Young Adult Leaders*

Number of Priests*

Total Week 2 Attendees

Attendees staying in dorms

Total Cost (On-Campus)

Total Cost (Hotel)

This will be your username and password to log into this site and view your registrants.

Username*

Password*

Enter Password Confirm Password

Group ID