Totus Tuus 2017 Registration
July 9-14, 2017 - St. Anthony Church, Watkins/Assumption Church, Eden Valley
Student #1 Full Name
Your answer
Student #1 Grade (as of fall 2017)
Your answer
Allergies or other medical conditions?
Your answer
Student #2 Full Name
Your answer
Student #2 Grade (as of fall 2017)
Your answer
Allergies or other medical conditions?
Your answer
Student #3 Full Name
Your answer
Student #3 Grade (as of fall 2017)
Your answer
Allergies or other medical conditions?
Your answer
Additional Students
Your answer
Parent Full Name
Your answer
Address
Your answer
City/State/Zip
Your answer
Email Address
Your answer
Cell Phone Number
Your answer
Alternative Phone Number
Your answer
Emergency Contact (name & phone number)
Your answer
Parish
I will submit my payment (grades 1-6: $25, grades 7-12: $10) by: (checks should be made payable to your own parish)
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms