Facebook Instagram Flocknote Email Phone

NCYC

- Registration
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  How many teens are your registering for NCYC? REQUIRED Please fill out this field.
  
  Teen 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Grade for the 2021/2022 School Year REQUIRED Please fill out this field.
  
  Teen Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  You may include my teen in GroupMe messages with information regarding NCYC. Yes No
  
  Teen Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary Address
  
  Street REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Please list any allergies. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  Please list any medical concerns. Please enter valid data.
  
  Teen 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Grade for the 2021/2022 School Year REQUIRED Please fill out this field.
  
  Teen Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  You may include my teen in GroupMe messages with information regarding NCYC. Yes No
  
  Teen Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary Address
  
  Street REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Please list any allergies. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  Please list any medical concerns. Please enter valid data.
  
  Teen 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Grade for the 2021/2022 School Year REQUIRED Please fill out this field.
  
  Teen Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  You may include my teen in GroupMe messages with information regarding NCYC. Yes No
  
  Teen Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary Address
  
  Street REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Please list any allergies. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  Please list any medical concerns. Please enter valid data.
  
  Teen 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Grade for the 2021/2022 School Year REQUIRED Please fill out this field.
  
  Teen Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  You may include my teen in GroupMe messages with information regarding NCYC. Yes No
  
  Teen Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary Address
  
  Street REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Please list any allergies. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  Please list any medical concerns. Please enter valid data.
  
  Teen 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Grade for the 2021/2022 School Year REQUIRED Please fill out this field.
  
  Teen Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  You may include my teen in GroupMe messages with information regarding NCYC. Yes No
  
  Teen Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary Address
  
  Street REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Please list any allergies. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  Please list any medical concerns. Please enter valid data.
  
  Teen 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Grade for the 2021/2022 School Year REQUIRED Please fill out this field.
  
  Teen Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  You may include my teen in GroupMe messages with information regarding NCYC. Yes No
  
  Teen Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary Address
  
  Street REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Please list any allergies. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  Please list any medical concerns. Please enter valid data.
  
  Parent 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Parent 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email Please enter an email address.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Emergency Contact other than parent
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relation to Teen REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Media
  
  We love to share what we are doing and promote parish ministries through print, electronic, and social media.
  
  May we include photos of your child(ren) on these various communications platforms? Yes No
  
  Commitment Agreement
  
  I understand my teen will attend the NCYC trip on Nov. 18 - 20, 2021.
  
  I understand my teen's attendance on this trip depends on maintaining a good standing with the Youth Ministry program.
  
  I understand that my $50 deposit is non-refundable.
  
  I understand that I am responsible for the remaining payment, due in October, 2021.
  
  I understand any payment refunds are at the discretion of the youth director.
  
  I Agree Please select this field.
  
  Please initial and date below. REQUIRED Please fill out this field. Please enter valid data.
  
  Payment Information
  
  Number of Participants REQUIRED Please fill out this field.
  
  Participant 1
  
  Non-Refundable Deposit50.0
  
  Participant 2
  
  Non-Refundable Deposit50.0
  
  Participant 3
  
  Non-Refundable Deposit50.0
  
  Participant 4
  
  Non-Refundable Deposit50.0
  
  Participant 5
  
  Non-Refundable Deposit50.0
  
  Participant 6
  
  Non-Refundable Deposit50.0
  
  Participant 7
  
  Non-Refundable Deposit50.0
  
  Participant 8
  
  Non-Refundable Deposit50.0
  
  Total:
  
  Submit
  
  Proceed to Payment
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
- About NCYC
  
  What is NCYC?
  NCYC is the National Catholic Youth Conference! Teens from all over the country come together to experience Christ in Word, Sacrament, and each other! Throughout the weekend teens will all attend several impactful keynote speakers, but they will also have the opportunity for breakout sessions, workshops, concerts, and more!
  
  Who can go to NCYC?
  NCYC is for 9-12 grade students (in the 2021-2022 school year).
  
  How much does the trip cost?
  The total cost of the trip is $300 per teen. $50 is due upon registration and the remaining cost after fundraising will be due in October. Please see below for fundraising opportunities.
  
  *We never want finances to be the reason a teen does not attend an event. If you need financial assistance, please contact the Parish Office*
  
  Will there be fundraising?
  Yes, we plan to have two fundraisers: A car wash in August and our M&M fundraiser in September/October. In order for students to get credit for either fundraiser they (or a parent) must participate. Students who do not participate will not get a share of the money earned in the fundraiser.
  
  Will you be staying overnight in Indianapolis?
  This year, due to Covid, we will return home each evening. We have arranged busses to transport the teens and chaperones to and from the conference each day.
  
  What will my teen do to prepare for this experience?
  Teens are expected to attend the three formation sessions leading up to NCYC to prepare their minds and hearts for what they will experience over the weekend. These meetings are
  7 pm - 8:15 pm on the following days:
  August 29
  September 12
  October 24