Totus Tuus for Children with Special Needs 2022
These four days of Totus Tuus are for children ages 6-13 who have an IEP that places them outside of the self contained classroom for the majority of the school day. The program will be held from August 1-- August 4, 2022 from 10am-2pm at the Church of the Resurrection.
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Child's Name *
Child's Gender *
Child's Date of Birth *
Has your child made their First Holy Communion? *
Does your child receive Communion weekly? *
Parish *
Diocese *
Child's T-Shirt Size *
Parent/Guardian Name(s) *
Email Address *
Confirm Email Address *
Phone Number *
2nd Phone Number *
Home Address *
City, State, Zip Code *
How did you hear about Totus Tuus for Children with Special Needs? *
Please check all that apply
Required
Child's Interests
How does your child learn best? *
Touching items, seeing visuals, listening to someone speak, listening to music, watching videos, doing crafts, etc.
Is there any particular thing that your child is interested in? Please feel free to send these items, if appropriate *
Child's Disability, Social Interaction and Physical Information
Will your child require medication during the time they are attending Totus Tuus (10am-2pm)?   *
Please check any of the following that are a challege for your child. *
Required
If your child experiences emotional or behavioral difficulties, what kinds of support work best in restoring a sense of calm? *
Does your child have allergies?  If yes, to what? *
Does your child require special positioning in a wheelchair?  If yes, please explain. *
Does your child wear AFOs, prosthetics or braces?  If yes, please explain. *
Does your child have seizures?  If yes, please describe frequency and describe any visible warning signs. *
Does your child require any special dietary needs or restrictions? *
Does your child have any food allergies/issues? *
Child's Personal Hygiene and Toileting Needs
Does your child need assistance with any of the following: *
Required
If any of the above are required, please explain. *
Next Steps:
We look forward to serving your child through the Totus Tuus program!  Please remember that there is a $50 fee to reserve a spot for your child and space is limited to 20 children.  Checks can be made out to "Catholic Diocese of Wichita" with "Special Needs" in the memo line.

Totus Tuus - Special Needs
Catholic Diocese of Wichita
424 N. Broadway
Wichita, KS 67202
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