Totus Tuus 2026 Registration

Totus Tuus 2026 Registration

Parish program registration for July 27-31, 2026. Please complete the family, medical, photo release, and volunteer sections as applicable.
Totus Tuus Day Program 2026 Registration Form
- Who: Students entering grades 1–6 for 2025-2026 school year
- When: Monday, July 27 - Friday, July 31, 2025. 9am-3pm
- Where: St. Elizabeth Ann Seton Church
- Cost: $10 per child / ax $25 per family
  - payable via cash or check to parish office. Make checks out to SEAS.
  - Or pay electronically on this form below
Evening program for 7-12th grade will be Sunday, July 26-Thursday July 30 6:45-8:45 pm at SEAS (enter in the gym doors). Does NOT require registraiton.

Questions or concerns can be directed to Mary Beth and Jose Gonzalez: seastotustuus@gmail.com
Family Information
Parent/Guardian Name

First NameLast Name
Email
example@example.com
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Children's Information
Child 1 Name

First NameLast Name
Child 1 Grade (fall 2026)
Child 1: Allergies, Medications & Dosage, Food Restrictions, Medical Conditions or anything our team should know about this child.
Child 2 Name

First NameLast Name
Child 2 Grade (fall 2026)
Child 2: Allergies, Medications & Dosage, Food Restrictions, Medical Conditions or anything our team should know about this child.
Child 3 Name

First NameLast Name
Child 3 Grade (fall 2026)
Child 2: Allergies, Medications & Dosage, Food Restrictions, Medical Conditions or anything our team should know about this child.
Additional Children
Children Information - Up to 4 children total
Emergency Contacts
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.
Additional Emergency Contact 1 Name
Additional Emergency Contact 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Emergency Contact 2 Name
Additional Emergency Contact 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical & Insurance
Name of Family Physician
Family Physician Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Insurance Company
Insurance Policy #
Permissions & Authorizations
Medical Authorization: I/We understand that the Catholic Diocese of Wichita and the Totus Tuus assume no responsibility for accidents which may occur in association with diocesan events and activities. I/We agree to use my/our personal insurance to cover any such incidents. I/We understand that, in the event medical intervention is needed, every attempt will be made to contact the persons listed above. In the event those individuals cannot be reached, I/We hereby give permission to the physician or any other qualified medical staff selected by the event leader to hospitalize, secure medical treatment, and/or order injection, anesthesia or surgery for Participant as deemed necessary.
Permission for Other Medical Matters, in the event it comes to the attention of the diocesan and/or parish chaperones that my child complains of illness, I grant permission for non-prescription medication (such as Tylenol, lozenges, etc.) to be given to Participant
Agreement to Medical Authorization, Release of Liability, I understand all reasonable safety precautions will be taken at all times by the Catholic Diocese of Wichita and Totus Tuus and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree to indemnify and hold harmless the Catholic Diocese of Wichita and/or the Office of Faith formation, its leaders, employees and volunteer staff from any claim arising from or in connection with attending this event and Code of Behavior
Code of Behavior: I agree to abide by and/or instruct Participant to abide by all rules and regulations as outlined by the aforementioned chaperones/representatives. I agree that if I/Participant fail(s) to abide in any way by the rules, that I/Participant can be dismissed from the trip/event and sent home immediately at my/Participant’s expense with no right of reimbursement or refund for any amount in connection therewith from the Catholic Diocese of Wichita or its chaperones/representatives.
Photo Release
Photo release consent
Parent/Guardian signature
Date signed

MonthDayYear
Date
Volunteer
Availability and Support Options
Volunteer Name
Volunteer email
Volunteer Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Indicate when you are available to help (i.e: all mornings, MWF, or everyday).
Payment
Pay electronically (there is a fee added to pay online)
prevnext( X )
Registration Fee
Per child

$11.00 Quantity

Family Price (3+ children)
Use to pay for 3+ children (family max)

$27.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Totus Tuus 2026 Registration

Family Information

Children's Information

Emergency Contacts

Medical & Insurance

Permissions & Authorizations

Photo Release

Volunteer

Pay electronically (there is a fee added to pay online)

Payment Methods