Totus Tuus Registration 2024 Family Last Name(Required) Primary Phone Number(Required)Registered Members of St Joseph Catholic Church?(Required) Yes No Would you like to information about registering at St. Joseph? Yes No Parent/Guardian - Father First Name(Required) Parent/Guardian - Mother First Name(Required) Father's Religion (If not Catholic) Mother's Religion (If not Catholic) Father's Cell PhoneMother's Cell PhoneEmail Address (Father) Email Address (Mother) Family/Primary Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you need to enter a 2nd address? Yes Secondary Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Contact - Other than parents(Required) Emergency Contact Relationship(Required) Remind Notifications** Day Program: Text @ttameryam to the number 81010 ** Evening Program: Text @ttamerypm to the number 81010How many children are you registering?(Required)Please note, this form allows for up to 5 children. If you have more than 5 children to register, please submit another form.Youth Name #1(Required) Grade (2024-2025)(Required)123456789101112Lunch Option (Grades 1-6 Only) Bringing their own lunch. Eating the provided parish lunch. Be sure to list any dietary restriction below.Birthdate(Required) MM slash DD slash YYYY School(Required) Baptism First Reconciliation First Eucharist Confirmation Medical Notes Youth Name #2 Grade (2024-2025)123456789101112Lunch Option (Grades 1-6 Only) Bringing their own lunch. Eating the provided parish lunch. Be sure to list any dietary restriction below.Birthdate MM slash DD slash YYYY School Baptism First Reconciliation First Eucharist Confirmation Medical Notes Youth Name #3 Grade (2024-2025)123456789101112Lunch Option (Grades 1-6 Only) Bringing their own lunch. Eating the provided parish lunch. Be sure to list any dietary restriction below.Birthdate MM slash DD slash YYYY School Baptism First Reconciliation First Eucharist Confirmation Medical Notes Youth Name #4 Grade (2024-2025)123456789101112Lunch Option (Grades 1-6 Only) Bringing their own lunch. Eating the provided parish lunch. Be sure to list any dietary restriction below.Birthdate MM slash DD slash YYYY School Baptism First Reconciliation First Eucharist Confirmation Medical Notes Youth Name #5 Grade (2024-2025)123456789101112Lunch Option (Grades 1-6 Only) Bringing their own lunch. Eating the provided parish lunch. Be sure to list any dietary restriction below.Birthdate MM slash DD slash YYYY School Baptism First Reconciliation First Eucharist Confirmation Medical Notes Youth Image and Recording Release FormThe Diocese of Superior and its affiliated parishes and schools may wish to use an image and/or recording of your child in print and electronic publicity and virtual education. It is the practice of the Diocese of Superior to protect all children at all times including the public use of their image and/or recording. This document has been developed to inform parents and guardians of their right to grant or refuse permission for their child's image and/or likeness to be used in Diocesan and affiliated parish and school media, promotional materials, and virtual education. Permission to use any video recording, photograph, slide, audio recording, or any other visual or audio reproduction in which your child may appear may include promotional and educational activities such as, but not limited to, websites, social media sites, newsprint, flyers or brochures, virtual classroom. We reserve the right to determine which image and/or recording is used and how long it will remain on the site or is used in media materials. Parents and Guardians: Please carefully read the statements below. Indicate your permission or refusal of permission by checking the appropriate statement.Select One(Required) YES - I give permission to the Diocese of Superior and affiliated parishes and schools to use my child(ren)’s image and/or recording for above-said use. I understand that both print and electronic media have a large audience and that my child(ren)’s photographic image and/or recording may have wide distribution. NO - I do not give permission to the Diocese of Superior and affiliated parishes to use my child(ren)'s image and/or recording for above-said use. We kindly request that you inform us of any physical limitations, learning disabilities, or behavioral concerns your child may have. Please be assured that this information will be kept in strict confidence and will aid us in providing the best possible care.If your family would like to help with Totus Tuus this year, volunteer & donation options are listed below.Snack DonationGrade School program has snack and drink at 9:50 each day. Middle School/High School has snack and drink every evening. Snack ideas: Cookies, muffins, bars, crackers, cheese, fruit, veggie, etc. All items must be store bought. Drink ideas: Juice, Gatorade, Lemonade, etc. No Soda. Snacks should be dropped off in advance. We average 30 kids in the day program & 10 kids in the evening program. Our family would like to donate snacks Our family would like to donate drinks Lunch DonationNEW THIS YEAR - We are serving lunch to the Day Program participants at no cost. Would you like to donate 1 or 2 of the following? We would need all items at church by July 18. Frozen Pizza Frozen Chicken Nuggets Tater Tots French Fries Apples Lunch Meat Bread Vegetables Potato Chips 12174
