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Steubenville East!!!

LaSalette Shrine, Attleboro, Ma.

July 14-16, 2000

PRICE: $135.00

(Please note: Inability to pay the full cost will not prohibit someone from attending the conference. If you have a financial problem, see Fr. Ray.)

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Bus Transportation, Lodging


All Meals (from Dinner Friday through Lunch on Sunday)

DEPOSIT due with Registration Form $25.00
1st Payment due March 15,2000 $40.00
2nd Payment due April 15, 2000 $40.00
3rd Payment due May 15,2000 $30.00

Does Not Include:

Spending money for gifts, souvenirs and snacks

There will be no refunds made after June 1, 2000.


Name:_____________________________________M / F

Address: ___________________________________


State:________________ Zip:__________________

Telephone: (_____)___________________________

Parent’s Name:______________________________

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Yes, my son/daughter has my permission to attend the Steubenville East Youth Conference on July 14 - 16, 2000


(Parent’s Signature) (Date)

Please return this slip to Fr. Ray by February 15th, along with a deposit check for $25.00 made payable to "St. Pius X Church." Please note: this deposit is not refundable.

1st payment ($40.00) due March 15th.
2nd payment ($40.00) due by April 15th.
3rd payment ($30.00) due by May 15th.
There will be no refunds made after June 1, 2000.