Online enrollment Form for Totus Tuus 2017 (and also for VBS)

Once you’ve submitted the form, you’ll be redirected to a page that will let you pay with Paypal.

* Names of Parents or Guardians:

Telephone (Cell): (Home):
(Work):

* Email Address You Check Most Often:

*Address:
*City: *State: *Zip:

 

Children to Enroll in Totus Tuus and their grade level for the 2017/2018 school year:

Child 1 Name: Grade:
Medical conditions we should be aware of:

Child 2 Name: Grade:
Medical conditions we should be aware of:

Child 3 Name: Grade:
Medical conditions we should be aware of:

 

Children to Enroll in VBS (must be 3 years old by July 1 and potty trained). If entering 1st grade or up in the fall, use Totus Tuus above.

Child 1 Name: Age:
Medical conditions we should be aware of:

Child 2 Name: Age:
Medical conditions we should be aware of:


To register additional children, you can fill out this form a second time after submitting the first one (you only need to pay once, however). Or you can email Rachel Yarbrough (ryarbrough@olgchurch.org) with the names, ages, and special needs of the additional children.


PHOTOGRAPHY and VIDEOTAPING RELEASE - I give Our Lady of Grace Catholic Church permission to use pictures and videos (only taken during our Totus Tuus/VBS time) of our family and children for bulletins, directories, the Church website and slide shows
YesNo

NAME AND PHONE NUMBER of an adult to reach in case of emergency in the event that you cannot be reached at the numbers above:

* Emergency Contact:
* Telephone:

Paying by: CheckPaypal

To verify your request, please enter the characters you see in the box below:
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