Steubenville of the Rockies Registration

St. John the Baptist will be bringing a group to the Steubenville of the Rockies Conference. WHO: High School (Incoming 9th-Graduated 12th Grade) WHAT: High intensity, prayerful, youth conference aimed to equip youth to tackle the challenges of high school WHERE: Gaylord Rockies Resort WHEN: July 25 - 27, 2025 COST: $450 $220 Conference; $155 Lodging; $75 Parking and Chaperone cost; Total: $450 *Scholarships Available for those who regularly attend Youth Group at SJB* INFO: https://archden.org/eflm/conferences-retreats/steubenville/

Email*

Secondary Email

Number of Children to Register:*

Youth Info

Child 1

Child #1 Name*

First Last

Child #1 Grade*

Incoming 9th
Incoming 10th
Incoming 11th
Incoming 12th
Graduated Senior

Roommate Request for Child #1

Child 2

Child #2 Name

First Last

Child #2 Grade

Incoming 9th
Incoming 10th
Incoming 11th
Incoming 12th
Graduated Senior

Roommate Request for Child #2

Child 3

Child #3 Name

First Last

Child #3 Grade

Incoming 9th
Incoming 10th
Incoming 11th
Incoming 12th
Graduated Senior

Roommate Request for Child #3

Parent Info

Mother's Name*

First Last

Mother's Cell Phone*

Father's Name*

First Last

Father's Cell Phone*

If needed, would you be willing to volunteer as a chaperone? Our Youth Group volunteers will be asked first, this is just in case we do not have enough volunteers.*

Yes, I'd love to help
Not this time

Would you be willing to volunteer as a driver? If we do not have enough volunteer drivers, you will be asked to transport your own child to and from the Gaylord Hotel.*

Yes, I'd love to help
Not this time

Are there any severe allergies? Food allergies? Difficulties being away? Medical conditions...etc? Even hesitancy with the faith? Difficulties at home? Anything you think our group leader needs to know.*

Steubenville Scholarship Fund

Small Donation - $50
Half Scholarship - $200
Full Scholarship - $400
Not at this time

Due to the location at the Gaylord, the cost of the Steubenville continues to rise. For many, this retreat is prohibitively expensiveness. If it is within your means and you feel so called, please consider donating to our scholarship fund so we can send kids who otherwise would be unable to attend.

Payment

Total

$0.00

Credit Card

Card Details

Cardholder Name