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SH Totus Tuus 2019 Registration
Registering your child for summer mini-camp at Sacred Heart.
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* Indicates required question
Email
*
Your email
Parent / Guardian Name
*
Your answer
Phone Number
*
Your answer
Child's Name (will have to fill form out multiple times for multiple children)
*
Your answer
Child's Grade for 2019-2020 School Year
*
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eigth
Ninth, Tenth, Eleventh, or Twelth
Child's T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Food Allergies?
*
Your answer
Medical Allergies?
*
Your answer
Medical Conditions and Medications Taken
*
Your answer
Health Insurance Provider
*
Your answer
Plan #
*
Your answer
Plan Holder
*
Your answer
Emergency Contact (other than yourself)
*
Your answer
Emergency Contact's Phone Number
*
Your answer
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