Totus Tuus Registration

Youth Registration Form

For questions or more information, please contact:
Chad Olson, DRE

320-305-6010

drespiritoflifeafc@gmail.com

Parish Program Information

Cost: $25 per child (max. $100 per fam Registration and payment is due June 1st

The grades 1-6 Day Program starts at 9:00am on June 15 and ends at 2:00pm on June 18

**Students in the Day Program should bring a packed lunch each day. **

The grades 7-12 Evening Program starts at 7:30pm on June 14 and ends at 9:30pm on June 18

The location this year is St. John's Catholic Church in Ortonville (Bussing is available from Graceville & Madison)

An Area Faith Community Potluck will be held on Wednesday, June 17 at 6:00pm at St. John's in Ortonville.

Totus Tuus Registration Form

Please Select Your Primary Parish

Holy Rosary

St. John

St. Michael

Other, please specify

Parents' First Names

Parents' Last Names

Primary Phone Number

Parents' Email Address

Additional Notes (If Applicable)

Emergency Contact Name #1

Relationship to Child

Phone Number

Emergency Contact #2

Relationship to Child

Phone Number

Child #1 -First Name

Child #1 -Last Name

Child #1 DOB

Child #1 grade (in the fall):

Child #2 - First Name

Child #2 - Last Name

Child #2 DOB

Child #2 grade (in the fall):

Child #3 - First Name

Child #3 - Last Name

Child #3 DOB

Child #3 grade (in the fall):

Child #4 - First Name

Child #4 - Last Name

Child #4 DOB

Child #4 grade (in the fall):

Additional Notes for children (if applicable)

Video/Photograph Permission: We consent to the use of any video, images, photographs, audio recordings, or any other visual or audio reproductions that may be taken of our child(ren) during the event to be used, distributed, or shown as the Diocese of New Ulm or parish sees fit.

Yes

I, (name), grant permission for the above stated child(ren) to participate in Totus Tuus and I warrant that my child(ren) is (are) in good health. In consideration of my child(ren)'s participation, I agree to indemnify St. John's Church and the Diocese of New Ulm from any claims or lawsuits brought against St. John's Church/Diocese of New Ulm by myself, my child(ren), or others, that arises out of any behavior by my child at Totus Tuus. I agree to pay reasonableattorney's fees or expenses incurred by St. John's Church and the Diocese of New Ulm in defense of such a claim/suit. As a parent or guardian, I agree to all of the above-stated considerations and conditions.

Signature:

Date:

Totus Tuus Registration

Youth Registration Form

Parish Program Information

Totus Tuus Registration Form

Spirit of Life Area Faith Community