Welcome to the Steubenville Registration/Liability Waiver Form Generator


Are you teen, Adult Chaperone or Religious?


Please fill in the following information. After you have entered your information you will click “Submit” (at the bottom of the page). **Once you click “Submit” your Liability Form will automatically be generated. You must Print the generated form, and turn it in to your Group Leader.

If you are having technical difficulties, please click the support tab on the right side of this page


Group Information


If the information above is not correct, pleaseclick the support tab on the right side of this page.

Your Personal Information


Please make sure you enter the correct information below.




Other Information


In the fall of 2014, I will be a high school Freshman Sophomore Junior Senior Freshman in college

If I go to college, I will be considering a major in and/or .
High school year of graduation

Parent/Guardian Info


Mother or Female Guardian

Please make sure the information below is accurate.


Father or Male Guardian Info


Emergency Contact Info


Same as Guardian?


Health Information (please have your insurance card with you at all times)



**After you Submit, your liability form will be appear on your screen. You must Print the generated form, have it signed by one of your parents/guardians, and turn it in to your Group Leader**