2027 NCYC- Form

2027 NCYC- Registration Form

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National Catholic Youth Conference 2027 NCYC. November 18-20,2027

Eligibility: High school students (Grades 9-12)

Registration Date(Required)

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)

Grade 2027-2028 school year(Required)

School Name(Required)

Teen Cell Phone Number(Required)

Teen Email Address(Required)

Email Address Confirm Email Address

T-Shirt size(Required)

Home Address

Street Address Address Line 2 City ZIP Code

MEDICAL AND INSURANCE INFORMATION

My teen is covered by medical insurance(Required)

Yes

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 18-20, 2027 . 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.