Totus Tuus Registration
Sunday June 17 to Thursday June 21, 7 to 9 pm
Current 6th-12th grade students
Location: St. Mary, Menasha- 528 Second St.
Participant First Name:
Participant Last Name:
Participant Plans to attend:
Multiple nights. Please list night they will NOT attend below.
List any dietary or health concerns leaders should be aware of:
I will be paying for:
One youth ($25)
Two youth ($40)
More than 2 youth ($20 per participant) Please list number below.
I need scholarship. Please list amount needed below.
All checks for Middle/High School Program should be made payable to St. Mary's Parish.
I will be:
Dropping off the payment at the parish
Mailing the payment In
Sending the payment on the first night of programming.
None of the above. I am requesting scholarship.
Liability forms are required to participate in any event at St. Mary/St. John.
My youth has a current liability form on file.
I will print a liability form from St. Mary's Youth Ministry page & send it in.
I will fill out a form on the first night of the program/ the first night my youth attends. (Please note you need your health insurance policy number.)
Questions, comments, concerns:
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