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Release of Liability for Diocese of Baton Rouge

Liability forms for SJW must be filled out and returned.
- Click here for forms
9th-12th Grade. Join us for Steubenville South High School Youth Conference.
When: Friday June 20-Sunday June 22, 2025.
Where: Alexandria, LA.
Costs: $75 Deposit due at the time of Registration. Final Payment of $125 due Thursday May 1, 2025 by 3:00pm.
Depart from SJW Church on Friday June 20 at 1:00pm. Return to SJW Church Sunday June 22 at 3:00pm.
This year's theme is CONSUMED (Deuteronomy 4:24)
Conference Address: Randolph Riverfront Center. 4400 Coliseum Blvd. Alexandria, LA.
Rooms are reserved at the Holiday Inn- Downtown Alexandria.

*Students will be required to participate in Fundraising events through our annual bake sale.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Student or Adult ? REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Will student be 18 years old by June 20? REQUIRED Please fill out this field.
- T-Shirt Size (No Youth Sizes available) REQUIRED Please fill out this field.
- Allergies or Medical Needs? REQUIRED Please fill out this field. Please enter valid data.
- Medications Required (please list them) REQUIRED Please fill out this field.
- If Medications are required: Please indicate Name, dosage, and time frame to be administered during the weekend, as well as any special instructions. Student meds should be placed in ziplock bag and the bag labeled with this information as well. The bag needs to be turned into Joni Landry at time of check in on June 20 and will be returned on June 22.
- Cost per child for Steubenville is around $400. We hope to only charge each child $200 and fundraise the remaining amount. If enough funds are not raised, the additional costs will be the responsibility of the student/parents to raise on their own.
  I Agree: I understand that fundraising may not cover full amount of the trip for my child, and I am responsible for the full amount($400) if funds are not raised. Please select this field.
- I Agree: Liability Forms must be printed and returned to Church Office by May 1. See above where it says "Click here for forms" Please select this field.
- You can choose to pay the remaining $125(Due by May 1) in addition to the deposit today, or to pay in full if you choose and would like to aid our fundraising efforts. REQUIRED Please fill out this field.
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St Joseph the Worker

Pierre Part, LA

Steubenville Registration

Release of Liability for Diocese of Baton Rouge

Liability forms for SJW must be filled out and returned.

9th-12th Grade. Join us for Steubenville South High School Youth Conference.