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Steubenville 2025 - Register Below

- A deposit of $100 is required to secure your spot. This can be sent via e-transfer to [email protected] with "Steubenville" in the message line. Alternatively, you may contact Katie Jacobs to arrange a cash or cheque payment.
  
  South Windsor Catholic Family of Parishes
  Katie Jacobs
  Phone: 519-969-5292
  Email: [email protected]
  
  Once you have registered using this Google form, a link to the liability waiver from the Steubenville website will be emailed shortly. Parental signatures will be required.
  
  Thank you.
- This form is not accepting responses at this time.
  
  First & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Valid Email Address REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth & Citizenship Please enter valid data.
  
  Mother's Name Please enter valid data.
  
  Mother's Email Please enter valid data.
  
  Mother's Cell Number Please enter valid data.
  
  Father's Email Please enter valid data.
  
  Father's Name Please enter valid data.
  
  Father's Cell Number Please enter valid data.
  
  Family of Parishes Please enter valid data.
  
  Please list any dietary restrictions.
  
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