Totus Tuus Registration 2024

Thank you for you interest in Totus Tuus! Please register all of your children using this form.

Parent/Guardian Details

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Cell Phone(Required)

Work or Home Phone

Address(Required)

Street Address City ZIP / Postal Code

Primary Parish Affiliation(Required)

St. Anthony

St. Patrick

Our Lady of Fatima

Insurance Company

Policy #

Emergency Contact

Please enter someone other than the parent entered above that can be reached in the event that you cannot be reached at the numbers above.

Name(Required)

First Last

Relation to Participant(s)

Phone(Required)

Child Pick-up Authorization

Please list all the names of people who are authorized to pick-up your child(ren).(Required)

Paricipant Registration Details

Number of Participants to be registered(Required)

Please enter a number from 1 to 6.

First Participant Details

First Participant Name(Required)

First Last

Gender(Required)

Grade in 2024-2025(Required)

Special Health Conditions and/or Allergies(Required)

Please describe or enter "none"

Medication and Dosage if needed during the day(Required)

Please describe or enter "none"

Food Restrictions(Required)

Please describe or enter "none"

Second Participant Details

Second Participant Name(Required)

First Last

Gender(Required)

Grade in 2024-2025(Required)

Special Health Conditions and/or Allergies(Required)

Please describe or enter "none"

Medication and Dosage if needed during the day(Required)

Please describe or enter "none"

Food Restrictions(Required)

Please describe or enter "none"

Third Participant Details

Third Participant Name(Required)

First Last

Gender(Required)

Grade in 2024-2025(Required)

Special Health Conditions and/or Allergies(Required)

Please describe or enter "none"

Medication and Dosage if needed during the day(Required)

Please describe or enter "none"

Food Restrictions(Required)

Please describe or enter "none"

Fourth Participant Details

Fourth Participant Name(Required)

First Last

Gender(Required)

Grade in 2024-2025(Required)

Special Health Conditions and/or Allergies(Required)

Please describe or enter "none"

Medication and Dosage if needed during the day(Required)

Please describe or enter "none"

Food Restrictions(Required)

Please describe or enter "none"

Fifth Participant Details

Fifth Participant Name(Required)

First Last

Gender(Required)

Grade in 2024-2025(Required)

Special Health Conditions and/or Allergies(Required)

Please describe or enter "none"

Medication and Dosage if needed during the day(Required)

Please describe or enter "none"

Food Restrictions(Required)

Please describe or enter "none"

Sixth Participant Details

Sixth Participant Name(Required)

First Last

Gender(Required)

Grade in 2024-2025(Required)

Special Health Conditions and/or Allergies(Required)

Please describe or enter "none"

Medication and Dosage if needed during the day(Required)

Please describe or enter "none"

Food Restrictions(Required)

Please describe or enter "none"

Permission and Releases

Media Release(Required)

I grant permission to the Diocese of Cheyenne and St. Anthony of Padua Parish, St. Patrick's Parish, and Our Lady of Fatima Parish to use my child’s/youth’s name, likeness and/or photographic image or video in the production of brochures, social media (Facebook, etc.), newspapers, etc. (We will share in a positive manner, representing Christian values. This is a great tool for evangelization!)

I do not grant permission to the Diocese of Cheyenne and St. Anthony of Padua Parish, St. Patrick's Parish, and Our Lady of Fatima Parish to use my child’s/youth’s name, likeness and/or photographic image or video in the production of brochures, newsletters, social media (Facebook, etc.), newspapers, etc.

Digital Signature(Required)

By typing my name and date, I acknowledge that the information entered above is accurate and true.