Totus Tuus 2017
June 25-30, 2017 | St. John the Baptist Church, Jordan
1-6th Grade: Monday, June 26 through Friday, June 30th: 9am-2:30pm
7th-12th Grade: Sunday, June 25 through Thursday, June 29th: 7:30pm-9:40pm
Student(s) Last Name
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Student 1 First Name
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Going into Grade:
Allergies or other medical conditions?
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Student 2 First Name
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Student 3 First Name
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Parent Name
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Email Address
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Cell Phone
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Home Phone
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Address
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City, State Zip
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First Emergency Contact
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Relationship
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Emergency Phone Number
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Second Emergency Contact
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Relationship
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Emergency Phone Number
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