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2025 NCYC- Form
2025 NCYC- Registration Form
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National Catholic Youth Conference 2025 NCYC. November 20-23,2025
Eligibility: High school students (Grades 9-12)
Registration Date
(Required)
MM slash DD slash YYYY
Registration Fee
(Required)
$50.00 -non refundable deposit due at time of registration
Primary Email Address
(Required)
Participant Information
Name
(Required)
First
Last
Gender
(Required)
Male
Female
Date of Birth -teen
(Required)
MM slash DD slash YYYY
Grade 2025-2026 school year
(Required)
9th Grade
10th Grade
11th Grade
12th Grade
School Name
(Required)
Teen Cell Phone Number
(Required)
Teen Email Address
(Required)
Email Address
Confirm Email Address
T-Shirt size
(Required)
Small
Medium
Large
X-large
XX-large
Home Address
Street Address
Address Line 2
City
ZIP Code
MEDICAL AND INSURANCE INFORMATION
My teen is covered by medical insurance
(Required)
Yes
No
Name of Health Insurance Provider
(Required)
Policy #
(Required)
Health Conditions or Allergies:
PARENT INFORMATION
Mother Name
(Required)
First
Last
Email
(Required)
Cell Phone
(Required)
Father Name
(Required)
First
Last
Email
(Required)
Cell Phone
(Required)
EMERGENCY CONTACT
Name
(Required)
First
Last
Cell Phone
(Required)
Relationship to Participant
(Required)
Permission for Image Disclosure of Child.(Required)
(Required)
Yes, I would like to authorize.
No, I would not like to authorize
Permission for Image Disclosure(Required)
(Required)
Yes, I DO authorize the Faith Formation department of St. Catherine of Siena Parish, in Kissimmee, FL to take photos, videos or any type of recording of my child to be used in the Parish Bulletin, Parish Website, or any other Parish Form. I waive from any claims, and release all the staff members, volunteers of St. Catherine of Siena Catholic Church in Kissimmee, FL, and/or the Diocese of Orlando, weather former, future, or current, from any and all claims, actions, cause of actions, suits, costs, expenses, liabilities, or/and damages.
Consent and Waiver
(Required)
I, the undersigned, hereby give permission for my child, to attend the National Catholic Youth Conference (NCYC) from November 20-23, 2025 . I understand that participation in this event may involve physical activities and travel, and I release St. Catherine of Siena and its representatives from any liability in the event of an accident or injury. • I authorize medical treatment for my child in the event of an emergency. • Yes, I agree to adhere to all rules and guidelines provided by the event organizers.