Steubenville 2024 Registration

Teen First Name REQUIRED Please fill out this field. Please enter valid data.

Teen Cell Number REQUIRED Please fill out this field. Please enter valid data.

Teen Last Name REQUIRED Please fill out this field. Please enter valid data.

Teen Gender REQUIRED Male Female Please fill out this field.

Teen T-Shirt Size (adult sizes) REQUIRED S M L XL XXL Please fill out this field.

Teen Graduation Year REQUIRED 2024 2025 2026 2027 2028 Please fill out this field.

Parent First Name REQUIRED Please fill out this field. Please enter valid data.

Parent Last Name REQUIRED Please fill out this field. Please enter valid data.

Parent Cell Phone REQUIRED Please fill out this field. Please enter valid data.

Parent Email REQUIRED Please fill out this field. Please enter valid data.

Name of emergency contact (secondary to parents) REQUIRED Please fill out this field. Please enter valid data.

Phone number of emergency contact (secondary to parents) REQUIRED Please fill out this field. Please enter valid data.

Please list any allergies REQUIRED Please fill out this field.

Please list any names of other participants you may have for roommate preferences (this does not mean you will be rooming together; it's entirely dependent on numbers and personnel!).

$325 regular registration: register by May 29 with a $100 non refundable deposit ($100 now + $225 later). Payment Amount -- includes price of conference, travel, meals, and t-shirt. REQUIRED 325.0 – Pay the full amount (Includes $100.00 non-refundable deposit). 100.0 – $100.00 non-refundable deposit and will pay remaining $225.00 later. 0.0 – I cannot pay the full price and am working to arrange that with Gabby Scheberle. 200.0 – Early Bird - I already paid deposit, now paying remainder Please fill out this field.

Steubenville 2024 Registration

General Information

Registration + Payment