Totus Tuus 2019
July 7-12 2019 | St. John the Baptist Church, Jordan
1-6th Grade: Monday, July 8 through Friday, July 12th: 9am-2:30pm
7th-12th Grade: Sunday, July 7 through Thursday, July 11th: 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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Going into Grade:
Allergies or other medical conditions
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Student 3 First Name
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Going into Grade:
Allergies or other medical conditions?
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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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Do you give permission for your children’s image, photo or video coverage to be displayed (including on the parish bulletin/website/Facebook page) for purposes that are related to parish activities?
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