National Catholic Youth Conference

Last Name REQUIRED Please fill out this field. Please enter valid data.

First Name REQUIRED Please fill out this field. Please enter valid data.

Preferred First Name for Name Badge REQUIRED Please fill out this field. Please enter valid data.

Participant Gender REQUIRED Please fill out this field.

Participant Type

Grade at Time of NCYC

T-Shirt Size REQUIRED

All sizes Adult

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Home Parish Please enter valid data.

Address 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.

Participant Email REQUIRED Please fill out this field. Please enter an email address.

Frequently Checked Email for Follow-Up REQUIRED Please fill out this field. Please enter an email address.

Participant Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.

Participant Ethnicity REQUIRED Please fill out this field.

Primary Language REQUIRED

NOTE: NCYC is predominantly an English-speaking event with ASL interpretation for the deaf. Language information will be used to track future needs

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Special Needs: Sign Language Interpretation Needed Enhanced Listening Device Needed Large Print Program Needed Braille Program Needed Scooter/Wheelchair Rental Information Needed Early Stadium Access Needed Due to Limited Mobility Assistance Needed Getting Between Stadium and Convention Center Low Gluten Host Needed

Youth Only:

Mother's First Name Please enter valid data.

Mother's Last Name Please enter valid data.

Is Mothers Address the same as the Student? Yes No

If no, Please Provide Mother's Address Please enter valid data.

Father's First Name Please enter valid data.

Father's Last Name Please enter valid data.

Is Father's Address Same as the Students Yes No

If No, Please Provide Father's Address Please enter valid data.

Adult Only:

Valid Background Check Through Parish?

Valid Safe Enviornment Training Through Parish?

Clergy/Religious?

National Catholic Youth Conference

National Catholic Youth Conference (NCYC)
November

What is NCYC?

What does my registration fee include?

REFUNDABLE DEPOSIT IS REQUIRED AT THE TIME OF APPLICATION.

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