Welcome to the Steubenville Registration/Liability Waiver Form Generator



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Group Information

Please check that the below information is correct and click ‘Next’.


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* Select who you are and click ‘Next’


Your Personal Information




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)


Other Information


If I go to college, I will be considering a major in
High school year of graduation
I understand that I need to have an Adult Chaperon Application/Verification Form signed by my diocesan official in addition to this liability form in order to attend the Youth Conference.

Note: If you do not have an Adult Chaperon Application/Verification Form, please contact your group leader or youthconferences@franciscan.edu.


** Please review the Liability Waiver below and sign in the provided box if you agree to these terms.**

** Please review the Liability Waiver below and sign in the provided box if you agree to these terms.**


**Parent Signature Required.**


Agreements & Liability Release:

  1. I agree to abide by all the rules and regulations stated by the Steubenville On The Bayou Catholic Youth Conference.

  2. I remain fully responsible and liable for any claims brought against the hosts of the Steubenville On The Bayou Catholic Youth Conference, which may result from any actions I may take.

  3. I have read and understood the expectations and guidelines for this event and will cooperate with these rules. I understand that failure to comply may result in immediate dismissal, with transportation home at my expense, as outlined in the consequence policy.

  4. Should photos or video be taken, I give my permission for the use of my image and/or likeness in any promotional or other marketing activities relating to the Steubenville On The Bayou Catholic Youth Conference.

  5. In the event of an emergency, I hereby give permission to the hosts of the Steubenville On The Bayou Catholic Youth Conference, its directors, agents, volunteers, and representatives associated with this event to transport me to a hospital to receive emergency medical or surgical treatment.

  6. I relieve the hosts of the Steubenville On The Bayou Catholic Youth Conference of all responsibility and consequences that may arise as a result of this treatment.

  7. I will not hold the hosts of the Steubenville On The Bayou Catholic Youth Conference liable in the event of injury. Further, I agree to accept any and all financial responsibility as a result of medical treatment.

Emergency Medical Treatment:

In the event of an emergency, I hereby give permission to the hosts of the Steubenville On The Bayou Catholic Youth Conference, its directors, agents, volunteers, and representatives associated with this event to transport my child to a hospital to receive emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.


I relieve the hosts of the Steubenville On The Bayou


In signing this Agreement, I hereby acknowledge and represent that I have read this entire document, that I understand its terms and provisions, that I understand it affects my legal rights, that it is a binding Agreement, and that I have signed it knowingly and voluntarily.



To sign,left-click anywhere in the box above and hold down while using your mouse or trackpad to draw your signature.Click the 'Clear Signature' button to start over.