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2018 Totus Tuus Registration
The Tri-Parish Program will be held July 22- 27. Grades K - 5 from 9 a.m. to 3 p.m. Monday (7/23) through Friday (7/27); Middle School and High School from 7p.m. to 9p.m. Sunday (7/22) through Thursday (7/26) at the Our Lady of Fatima Religious Ed Center.
Email address *
Names of Parents/ Guardians *
Your answer
Address *
Your answer
Phone Number(s) *
Your answer
Who can pick up your child(ren)? List here:
Your answer
The Parish you attend:
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1.Participant Name, grade for 2018/19 and allergies /medical conditions *
Your answer
2. Participant Name, grade for 2018/19 and allergies /medical conditions
Your answer
3. Participant Name, grade for 2018/19 and allergies /medical conditions
Your answer
4. Participant Name, grade for 2018/19 and allergies /medical conditions
Your answer
5. Participant Name, grade for 2018/19 and allergies /medical conditions
Your answer
6. Participant Name, grade for 2018/19 and allergies /medical conditions
Your answer
EMERGENCY CONTACT INFORMATION *
Please provide the name and phone number of an adult in case of an emergency and you cannot be reached. Must be different from those listed above!
Your answer
Your answer
Medical Authorization
I understand that the Diocese of Colorado Springs, Diocese of Cheyenne and Totus Tuus assume no responsibility for accidents which may occur in association with diocesan activities. I agree to use my/our insurance to cover any such incidents. I understand that, in the event medical intervention is needed, every attempt will be made to contact the persons listed above. In the event those individuals cannot be reached, I/We hereby give permission to secure medical treatment as deemed necessary.
Release of Liability for Youth and Adults
I understand all reasonable safety precautions will be taken at all times by the Catholic Diocese of Colorado Springs, Diocese of Cheyenne and Totus Tuus employees and agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree to indemnify and hold harmless the Catholic Diocese and Totus Tuus, its leaders, employees and volunteer staff from any and all claims arising from or in connection with attending this event.
Code of Behavior for Youth and Adults
I agree to abide by and/or instruct my child to abide by all rules and regulations as outlined by the aforementioned chaperones/representatives. I agree that if I/Participant fail(s) to abide in any way by the rules, that I/Participant can be dismissed from the event and sent home immediately at my/Participant's expense with no right of reimbursement or refund for any amount in connection therewith from the Catholic Diocese of Colorado Springs/Cheyenne or its chaperones/representatives.
Photo Release
I hereby authorize the Catholic Diocese of Colorado Springs/ Cheyenne and Totus Tuus and its agents to utilize photographic and/ or video images of me or my child . I understand I will receive no compensation should any photograph and/or video of me or my child be used.
Signature of Parent/ Guardian
Signatures agreeing to the above legalities will be required when your child(ren) attend(s) the Totus Tuus program.
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