Totus Tuus Registration Form

Grades 1–6: 9:00 a.m. – 2:40 p.m.; Monday, June 8th - Friday, June 12th

Grades 7–12: 6:45 p.m. – 8:30 p.m.; Sunday, June 7 - Thursday, June 11th
Totus Tuus Registration Form
Please fill out this form to register for Totus Tuus.

Make checks out to Blessed Sacrament Church.

Payments may be mailed to:

Blessed Sacrament Church

2290 State Road 9

Albion, IN 46701

Or you may drop your payment off at your parish office labeled “Totus Tuus Registration” with your family name.If you have any questions, please call or text Angela Furlotte at (260) 229‑9239.
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Parent/Guardian 2 Name

First NameLast Name
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian 2 Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 2 Home Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 2 Email Address
example@example.com
- Emergency Contact Name
  
  First NameLast Name
- Emergency Contact Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Emergency contact Relationship
- Child 1 First Name
- Child 1 Last Name
- Child 1 Grade for 2026-27 School Year
- Child 1 Birthdate
  
  MonthDayYear
- Child 1 Allergies (food, medication, other)?
- Child 1 - If yes, what are they?
- Does your child have a disability/IEP?
- If yes, please tell us about it and anything helpful for us to know.
- Has your child made their First Communion?
- Child 2 First Name
- Child 2 Last Name
- Child 2 Grade for 2026-27 School Year
- Child 2 Birthdate
  
  MonthDayYear
- Child 2 Allergies (food, medication, other)?
- Child 2 - If yes, what are they?
- Does your child have a disability/IEP?
- If yes, please tell us about it and anything helpful for us to know.
- Has your child made their First Communion?
- Child 3 First Name
- Child 3 Last Name
- Child 3 Grade for 2026-27 School Year
- Child 3 Birthdate
  
  MonthDayYear
- Child 3 Allergies (food, medication, other)?
- Child 3 - If yes, what are they?
- Does your child have a disability/IEP?
- If yes, please tell us about it and anything helpful for us to know.
- Has your child made their First Communion?
- Photo Use/Release: