IN ADDITION to filling out this form to register yourself, all youth through high school age must have a signed medical release form for this event.
If you are not part of a group, this form will be examined at the registration desk. It will be kept, however, by the chaperone.

Participant name: 

Phone contact:       Email:
  
Parish/School:    Address:

Chaperone name (optional)*: 

Number of youth this chaperone will be responsible for: 
  

If you are having problems registering, please contact
us at cynregistration@catholiccincinnati.org.

*We encourage participants to have chaperones; however, we are able to provide chaperones for a number of walk-ins, so long as the medical release form is signed.