Totus Tuus Child/Teen Participant Registration – Saint Joseph's Catholic Church

Parent Name *

First

Last

Email *

Confirm Email

Phone Number (Home) *

Phone Number (Work) *

Mailing Address

Child #1 Name *

First

Last

Child #1 Grade Level for the 2025-2026 School Year *

Please select the grade your child will be entering in the fall.

Child #1 Allergy/Medical Conditions

Child #2 Name

First

Last

Child #2 Grade Level for the 2025-2026 School Year

Please select the grade your child will be entering in the fall.

Child #2 Allergy/Medical Conditions

Child #3 Name

First

Last

Child #3 Grade Level for the 2025-2026 School Year

Please select the grade your child will be entering in the fall.

Child #3 Allergy/Medical Conditions

Child #4 Name

First

Last

Child #4 Grade Level for the 2025-2026 School Year

Please select the grade your child will be entering in the fall.

Child #4 Allergy/Medical Conditions

Child #5 Name

First

Last

Child #5 Grade Level for the 2025-2026 School Year

Please select the grade your child will be entering in the fall.

Child #5 Allergy/Medical Conditions

EMERGENCY CONTACT: In the case of an emergency in the event that you cannot be reached at the numbers above. Please enter Name and Phone Number Below. *

First

Last

EMERGENCY CONTACT Phone Number *

Photography Waiver: I agree to having pictures of my children and/or myself taken during the Totus Tuus program and to those being included in church presentations, advertisements and website. *

Additional Comments/Questions