Muncie catholic

A PASTORATE OF THE DIOCESE OF
LAFAYETTE-IN-INDIANA

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NCYC Youth Registration

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Participant Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level (Fall of 2023) REQUIRED Please fill out this field.
  
  Parish REQUIRED Please fill out this field.
  
  Parent/Guardian Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  I am registering for: Conference with hotel option Conference with commuter option. I understand I am responsible for transportation.
  
  Agreement
  
  I understand that a $100 non-refundable deposit is required to hold my child's spot.
  
  Checks should be written to St. Mary. Full payment is due by September 10, 2023.
  I Agree Please select this field.
  
  Today's Date REQUIRED Please fill out this field. Please enter a date.
  
  Submit
  
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