2025 Totus Tuus Grades 1-6 Registration

St. Patrick Parish 2025 Grades 1-6 Day Program Registration Form
Program Details:

Who Can Attend:

The daytime program is open to youth entering the 1st-6th grade for the 2025-2026 school year. Attendance is limited to 90 youth.

*Children need to bring a sack lunch (labeled with their name) each day. We will provide drinks and snacks throughout the day.*

Dates/Times:

The daytime program runs Monday, July 7, 2025 through Friday, July 11, 2025. Each day begins at 9:00 a.m. and ends at 2:30 p.m.

Cost of Attendance:

The cost to participate is $20 for the first child, and $10 for each additional child, up to $50.

We will also have T-shirts available for a nominal charge of $12 each for children's sizes and $18 for adult sizes. Payment is due at the time of registration. No family is turned away for nonpayment, and financial assistance is available.

Help Make This Happen:

The success of this program depends on volunteers. We appreciate your willingness to help out.

Registration:
Please note that this registration form is only for the 1st-6th grade Totus Tuus program. To register older children for the 7th-12th grade program, please click here.
Name of Parents/Guardians:*
Mother's Email:*
example@example.com
Father's Email:
example@example.com
Mother's Cell Number:*
Please enter a valid phone number.
Father's Cell Number:
Please enter a valid phone number.
How many children are you registering?*
Child #1
Calculation
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child #2
Child #3
Child #4
Child #5
Child #6
Name(s) of Child(ren)*
Additional Emergency Contact Information:

Name and phone number of an adult to reach in case of emergency in the even that you cannot be reached at the numbers above.
First NameLast Name
Phone Number*
Please enter a valid phone number.
Calculation
Name of Family Physician
Phone Number
Please enter a valid phone number.
Insurance Company
Policy #
Medical Authorization*
Permission for Other Medical Matters*
Release of Liability for Youth and Adults*
Code of Behavior for Youth and Adults*
Photo Release*
We are looking for parent and high school volunteers! I can help with:*

Check-in VolunteersSetup HelpSnack HelpLunch HelpRecess HelpClassroom HelpCleanup HelpCrossing Guard HelpPut me where you need me
The cost to attend is $20 for one child and $10 for each additional child, with a maximum of $50. If you need assistance paying, please reach out to Sandi Hootman at shootman@stpatchurch.org.

T-shirts may be purchased for $12 for children and $18 for adults.
Signature of Parent/Guardian

Clear
Date

MonthDayYear
Date

My Products*

# of ChildrenDue at time of registration

$20.00 Quantity

Enter coupon

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Should be Empty:

St. Patrick Parish 2025 Grades 1-6 Day Program Registration Form

Additional Emergency Contact Information:

Payment Methods