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Steubenville NYC 2019

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Conference Dates: July 19-21, 2019

Steubenville is a "high-energy youth conference where thousands of teens are invited to encounter Jesus Christ through dynamic speakers, engaging music, the Sacraments, small group discussions, and fellowship with other teens."

The conference is open to graduating 8th graders to graduating 12th graders.

You do not have to be active in EDGE or Lifeteen to attend!!

If you have any questions or need financial assistance please don't hesitate to email Jason Jcarter@saintmonicachurch.org
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- Parents Name(s) REQUIRED Please fill out this field. Please enter valid data.
- Parents Number (best number in case of emergency) REQUIRED Please fill out this field. Please enter valid data.
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- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
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- Grade as of fall 2019 REQUIRED Please fill out this field. Please enter valid data.
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- Allergies/ Medical Needs
- I hereby agree to indemnify and hold harmless St. Monica Catholic Church, the Archdiocese of Philadelphia and its officers, employees, and volunteer staff from any liability. I accept responsibility for any medical expenses as a result of any such injury sustained.
  
  As a parent and/or guardian, I do herewith authorize the treatment by a qualified and licensed medical doctor for in the event of a medical emergency which, in the opinion of the attending physician, may endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me.
  
  This release is intended for 7/19-7/21 2019. This release form is completed and signed of my own free will with the sole purpose of authorizing medical treatment under emergency circumstances in my absence.
  I Agree Please select this field.
- Payment REQUIRED
  $150 – Deposit
  $350 – Pay in Full Please fill out this field.
Total: $

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